Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE J MOEN, FNP
ActiveSTACIE J MOEN, FNP is a Primary Care Nurse Practitioner healthcare provider located in GRAND FORKS, North Dakota. NPI 1083575062 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · GRAND FORKS, ND
Registration Details
- NPI Number
- 1083575062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2025 (0.69034595188191 yrs)
- Last Updated
- Nov 19, 2025
- License
-
230520 (ND)
Practice Information
- Address
-
4177 S COLUMBIA RD STE 106GRAND FORKS, ND, 582017787Browse ND providers · Browse ZIP 58201
- Phone
- 7017573747
- Fax
- 7017573747
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in GRAND FORKS, ND
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY LYNN KNUTSON SHIMEK | FNP-C | 1427204346 |
| MR. DAVID P SUNDBERG | FNP-C | 1750693784 |
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.