LISA ROSE MOEN APRN-CNP NPI 1982955159

NPI Information

NPI: 1982955159
Provider Name: LISA ROSE MOEN, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2101 ELM ST N
FARGO, ND
ZIP 58102
Phone: (701) 232-3241
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Lisa Rose Moen, APRN-CNP is a family nurse practitioner in Fargo, ND. Lisa Rose Moen, APRN-CNP NPI is 1982955159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2101 ELM ST N
FARGO, ND
ZIP 58102
Phone: (701) 232-3241
Fax: (701) 237-2637

The enumeration date for this NPI number is 9/27/2012 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		R34505	NORTH DAKOTA	No
2	363LF0000X	Nurse Practitioner	Family	R34505	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84203	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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