Stacie J Moen, FNP
NPI #1083575062 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1083575062
- Entity Type
- Individual
- Name
- Stacie J Moen, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- FNP
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 4177 S COLUMBIA RD STE 106
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-7787
- Phone
- (701) 757-3747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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