IndividualActive
Carol Moen, NURSE PRACTITIONER
NPI 1619939006 · Women's Health Nurse Practitioner · Devils Lake, ND
Provider details
- NPI number
- 1619939006
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- License
- R20055 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
524 4th Ave Ne
Unit 9
Devils Lake, ND 58301-2490
Phone: (701) 662-7046
Approximate (ZIP-level) locationGet directions
Mailing address
5312 118th Ave Ne
Michigan, ND 58259-9452
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.