ETYANE AYANA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1972765972- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 17305 CEDAR AVE S STE 220, LAKEVILLE, MN, 550443903
- Phone
- (952) 465-1959
- Fax
- (952) 236-0138
Specialties & Taxonomies
Registered Nurse
License: MN #R178274-1
Nurse Practitioner, Family
Primary License: MN #F12220253