IndividualActive
Kevin Axtman
NPI 1063955532 · Psychiatric/Mental Health Registered Nurse · West Fargo, ND
Provider details
- NPI number
- 1063955532
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R35002 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
1115 Westport Beach Way Unit B
West Fargo, ND 58078-8848
Phone: (701) 240-1758
Approximate (ZIP-level) locationGet directions
Mailing address
1115 Westport Beach Way Unit B
West Fargo, ND 58078-8848
Registry dates
- Enumerated
- 2016-11-30
- Last updated
- 2016-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.