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

Stacie J Moen, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1083575062

Stacie J Moen, FNP is a Primary Care Nurse Practitioner in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2025.

Licensed in
ND
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

4177 S Columbia Rd Ste 106
Grand Forks, ND 58201-7787
Phone: (701) 757-3747
Fax: (701) 757-3747
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 230520 (ND)

Record details

NPI number1083575062
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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