IndividualActive
Macie Mikkelsen, FNP-C
NPI 1376226290 · Family Nurse Practitioner · Fort Totten, ND
Provider details
- NPI number
- 1376226290
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- R46047 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3883 74th Ave Ne
Fort Totten, ND 58335-6102
Phone: (701) 766-1600
Approximate (ZIP-level) locationGet directions
Mailing address
3883 74th Ave Ne
Fort Totten, ND 58335-6102
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.