AVIS L GROTHEM FNP/CNM
NPI 1841379401
Nurse Practitioner - Obstetrics & Gynecology in Fargo, ND

Active since November 03, 2006

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avis L Grothem Fnp/cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVIS L GROTHEM FNP/CNM (NPI 1841379401) is an individual obstetrics & gynecology provider in Fargo, North Dakota, licensed in North Dakota (R29668) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1841379401
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameAVIS L GROTHEMCredential: FNP/CNM
Location Address306 4TH ST NFargo, ND 58102-4820
Mailing AddressPo Box 2625Fargo, ND 58108-2625 · (701) 239-7111
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1841379401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
Licenses Licensed in ND · R29668 Licensed in MN · R0772147
306 4TH ST N, Fargo, ND 58102

Other Identifiers 2

Medicaid19747ND
Medicaid527465600MN

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
306 4TH ST N
FARGO, ND 58102
Physician Assistant
306 4TH ST N
FARGO, ND 58102
Family Medicine
306 4TH ST N
FARGO, ND 58102
Dentist
306 4TH ST N
FARGO, ND 58102
Nurse Practitioner
306 4TH ST N
FARGO, ND 58102
Dentist
306 4TH ST N
FARGO, ND 58102
Physician Assistant
306 4TH ST N
FARGO, ND 58102
Nurse Practitioner (Family)
306 4TH ST N
FARGO, ND 58102

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 Avis Grothem's NPI number?

The NPI number for Avis Grothem is 1841379401. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Avis Grothem located?

Avis Grothem practices at 306 4th St N, Fargo, ND 58102. The listed phone number is (701) 239-7111.

What is Avis Grothem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Avis Grothem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.