Breezetta Etienne, PA-C
NPI 1659361244 belongs to Breezetta Etienne, PA-C, a medical physician assistant with a practice location in Grand Forks Afb, ND. The NPI was issued on October 25, 2005, and the record was last updated in NPPES on July 13, 2026. The record lists 2 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PAC0333 (ND) |
| Medical Physician Assistant | 363AM0700X | 815 (MN) |
Practice location
Local context
Active NPPES records list 9 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.
The same primary taxonomy is listed by 99 in North Dakota and 40,076 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Breezetta Lowanet Etienne
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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