# DOCTOR ETYANE AYANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRINITY HEALTH COMMUNITY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043182801
- **Authorized official:** ETYANE AYANA (DO)
- **Authorized official phone:** (952) 236-4008

## Contact information

- **Practice address:** 1555 SOUTHCROSS DR W STE 208, BURNSVILLE, MN 55306-6938
- **Practice address phone:** (952) 465-1959
- **Practice address fax:** (952) 236-0138
- **Mailing address:** 1555 SOUTHCROSS DR W STE 208, BURNSVILLE, MN 55306-6938
- **Mailing address phone:** (952) 236-4008
- **Mailing address fax:** (952) 236-4008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 11/04/2025