STACIE MOEN, FNP

Nurse Practitioner - Primary Care

Active Individual
NPI: 1083575062

Practice Address

4177 S COLUMBIA RD STE 106
Grand Forks, ND 58201

Phone: (701) 757-3747

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes 230520 (ND)

Frequently Asked Questions

NPI 1083575062 is the National Provider Identifier for STACIE MOEN, FNP, a Nurse Practitioner - Primary Care provider located in Grand Forks, ND. This NPI was enumerated on November 19, 2025.
STACIE MOEN, FNP practices at 4177 S COLUMBIA RD STE 106, Grand Forks, ND 58201.

Quick Facts

NPI
1083575062
Type
Individual
Enumerated
Nov 19, 2025
Last Updated
Nov 19, 2025

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