IndividualActive
Amanda Nack
NPI 1770058232 · Registered Dietitian · Fargo, ND
Provider details
- NPI number
- 1770058232
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 970 (ND)
Practice location
736 Broadway N
Fargo, ND 58102
Phone: (701) 234-2000
Fax: (701) 234-2345
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.