Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breezetta Lowanet Etienne, PA-C

Individual provider Medical Physician Assistant · NPI 1659361244

Breezetta Lowanet Etienne, PA-C is a Medical Physician Assistant in Grand Forks AFB, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2005.

Licensed in
MN, ND
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1599 J St
Grand Forks AFB, ND 58205-6306
Phone: (701) 747-6687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAC0333 (ND)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 815 (MN)

Record details

NPI number1659361244
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESJuly 13, 2026

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