Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Fossum

Individual provider Other Technician · NPI 1356835151

Amy Fossum is an Other Technician in Moorhead, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

12109 15th St NW
Moorhead, MN 56560-7205
Phone: (701) 367-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1356835151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address12109 15th St Nw, Moorhead, MN 56560-7205

Other providers in Moorhead