Ethan Axtman
Ethan Axtman is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2018, 8 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group and accepts Medicare assignment. Licensed in Iowa and Minnesota.
- Years since qualifying
- 8
- Licensed in
- IA, MN
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1300 Anne St NWBemidji, MN 56601-5103
Phone: (218) 333-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2472321 (MN) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence A145482 (IA) |
Record details
| NPI number | 1407419419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2019 |
| Last updated in NPPES | May 10, 2020 |
| Certification date | May 10, 2020 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117-5074 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Sanford Health Of Northern Minnesota — 349 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Bemidji
-
Megan Askelson, FNP
705 5th St NW Ste B, Bemidji, MN 56601 · (218) 333-4735
-
Tiffany Brannan
119 Paul Bunyan Dr NW Ste A Pmb 1008, Bemidji, MN 56601 · (218) 203-5449
-
Laura Jean Bromenshenkel
1233 34th St NW, Bemidji, MN 56601-5112 · (218) 333-5522
-
Danielle Marie Cochran, FNP-C
1233 34th St NW, Bemidji, MN 56601-5112 · (218) 333-5000
-
Heather Ann Czywczynski, FNP
1233 34th St NW, Bemidji, MN 56601-5112 · (218) 333-5522