STACIE J MOEN FNP
NPI 1083575062
Nurse Practitioner - Primary Care in Grand Forks, ND
About Stacie J Moen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE J MOEN FNP (NPI 1083575062) is an individual primary care provider in Grand Forks, North Dakota, licensed in North Dakota (230520) and active in the NPI registry since November 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacie Moen's NPI number?
The NPI number for Stacie Moen is 1083575062. It was assigned to this individual provider in the NPPES registry on November 19, 2025.
Where is Stacie Moen located?
Stacie Moen practices at 4177 S Columbia Rd Ste 106, Grand Forks, ND 58201. The listed phone number is (701) 757-3747.
What is Stacie Moen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
When was this NPI record last updated?
The NPPES record for Stacie Moen was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
