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

Etyane Ayana

Individual provider Registered Nurse · NPI 1972765972

Etyane Ayana is a Nurse Practitioner in Lakeville, Minnesota. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

17305 Cedar Ave S Ste 220
Lakeville, MN 55044-3903
Phone: (952) 465-1959
Fax: (952) 236-0138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F12220253 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R178274-1 (MN)

Record details

NPI number1972765972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2008
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address20787 Gemini Trl, Lakeville, MN 55044-2515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Lakeville