Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN AXTMAN
Active Sole ProprietorETHAN AXTMAN is a Nurse Practitioner healthcare provider located in BEMIDJI, Minnesota. NPI 1407419419 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BEMIDJI, MN
Registration Details
- NPI Number
- 1407419419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2019 (7.3153851593164 yrs)
- Last Updated
- May 10, 2020
- Licenses
-
A145482 (IA)2472321 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 ANNE ST NWBEMIDJI, MN, 566015103Browse MN providers · Browse ZIP 56601
- Phone
- 2183335000
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in BEMIDJI, MN
| Name | Credential | NPI |
|---|---|---|
| BARBARA J ERIKSSON-CAPES | NP | 1881618221 |
| MATHILDE DOBBS | — | 1922119023 |
| ROBIN LEACH BUCHANAN | APRN | 1447351713 |
| MR. KELLY D PRUETT | APN | 1336217900 |
| LINDA MT HELGESON | NP | 1194910505 |
| DEBORAH L GIBBPOTTS | FNP-C | 1164604492 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.