Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADISON LAKE
ActiveMADISON LAKE is a Student (Health Education/Training) healthcare provider located in GRAND FORKS, North Dakota. NPI 1629656806 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · GRAND FORKS, ND
Registration Details
- NPI Number
- 1629656806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2021 (5.3366530947021 yrs)
- Last Updated
- Feb 18, 2026
Practice Information
- Address
-
1108 S 9TH STGRAND FORKS, ND, 582015570Browse ND providers · Browse ZIP 58201
- Phone
- 2186899517
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in GRAND FORKS, ND
| Name | Credential | NPI |
|---|---|---|
| CHANTEL RAE VAZQUEZ | RN | 1417369133 |
| TIFFANY RUSSELL | — | 1457749707 |
| ABIGAIL GRACE SISTAD | — | 1295203537 |
| KYLER DELANCEY | — | 1740826817 |
| ERICA WIECHERT | — | 1356976534 |
| RYLEE M VENN | DO | 1801532171 |
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.