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

Maren Lynn Mangardich

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104443449

Maren Lynn Mangardich is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2020, 6 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2020
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Practice location Address checks out

860 S Columbia Rd
Grand Forks, ND 58201-4028
Phone: (701) 780-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R42081 (ND)

Record details

NPI number1104443449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks