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Contact Information

ETYANE AYANA
17305 CEDAR AVE S STE 220
LAKEVILLE, MN55044-3903
 Phone: 952-465-1959
 Fax: 952-236-0138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ETYANE AYANA · (Female)

NPI # 1972765972
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2008
Last updated 01/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # F12220253
  • MN License # R178274-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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