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

Timothy Tita Etonde, DNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1811787666

Timothy Tita Etonde, DNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2024, 2 years ago. Practices with Balm of Gilead Healthcare Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
2
Licensed in
ND
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202345 (ND)

Record details

NPI number1811787666
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESJune 1, 2025
Certification dateJune 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Balm Of Gilead Healthcare Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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