Breezetta Etienne, PA-C

NPI 1659361244 · on the registry since 2005

Practice

Address: 1599 J St
Grand Forks Afb, ND 58205
Phone: (701) 747-6687
Organisation at this address: 319th Medgrp-Grand Forks
319th Medgrp-Grand Forks
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Also registered as: 363AM0700X
Licence states on file: ND, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota