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

Heather Rae Mikkelsen

Individual provider Community Health Worker · NPI 1679423081

Heather Rae Mikkelsen is a Community Health Worker in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2026.

Licensed in
ND
In the registry since
2026
Specialties on file
2

Practice location Address checks out

4025 9th Ave S Ste D
Fargo, ND 58103-2101
Phone: (701) 551-2446
Fax: (701) 364-9938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Pharmacy Technician Taxonomy 183700000X · Licence TECH581 (ND)

Record details

NPI number1679423081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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