IndividualActive
Amy Fossum
NPI 1356835151 · Other Technician · Moorhead, MN
Provider details
- NPI number
- 1356835151
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
12109 15th St Nw
Moorhead, MN 56560-7205
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.