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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BREEZETTA LOWANET ETIENNE PA-C
NPI 1659361244
Physician Assistant - Medical in Grand Forks Afb, ND

Active since October 25, 2005
1599 J ST, GRAND FORKS AFB, ND 58205(701) 747-6687 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breezetta Lowanet Etienne Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREEZETTA LOWANET ETIENNE PA-C (NPI 1659361244) is an individual medical provider in Grand Forks Afb, North Dakota, licensed in North Dakota (PAC0333) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1659361244
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBREEZETTA LOWANET ETIENNECredential: PA-C
Location Address1599 J STGrand Forks Afb, ND 58205-6306
Mailing Address1600 10th St SeEast Grand Forks, MN 56721-2252 · (218) 773-1492
Phone(701) 747-6687
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1659361244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in ND · PAC0333✔ Licensed in MN · 815
1599 J ST, Grand Forks Afb, ND 58205
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDALL CLIFFORD NEDEGAARD PH.D
Psychologist (Clinical)
1599 J ST, 319 MDOS/SGOH
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-7155
CHARLES EDWARD HOLTZ JR. IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5504
319TH MEDGRP-GRAND FORKS
Military/U.S. Coast Guard Pharmacy
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5382
DR. LINDSAY SNOW MD
Family Medicine
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5547
RACHEL ELIZABETH STEVENS PHARMD
Pharmacist
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5382
DR. BRYAN KEITH PAYNE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5547
CHRISTOPHER EDWARD FRANKEN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5475
ALISHIA DAWN SALYER PHD
Psychologist (Counseling)
1599 J ST
GRAND FORKS AFB, ND 58205
Grand Forks County (701) 747-5601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breezetta Etienne's NPI number?

The NPI number for Breezetta Etienne is 1659361244. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Breezetta Etienne located?

Breezetta Etienne practices at 1599 J St, Grand Forks Afb, ND 58205. The listed phone number is (701) 747-6687.

What is Breezetta Etienne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Breezetta Etienne was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.