IndividualActive
Alicia Mack, FNP-C
NPI 1225523004 · Family Nurse Practitioner · Grand Forks, ND
Provider details
- NPI number
- 1225523004
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2344340 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Practice location
212 S. 4th St. Suite 301
Spectra Health
Grand Forks, ND 58201
Phone: (701) 757-2100
Fax: (701) 757-2813
Approximate (ZIP-level) locationGet directions
Mailing address
212 S. 4th St. Suite 301
Grand Forks, ND 58201
Additional practice locations (1)
- 607 Towner AveLarimore, ND 58251-4501Phone: (701) 318-9399
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.