Individual provider · Type 1 NPI

McKenzie Ann Disrud, FNP

Family Nurse Practitioner · Grand Forks, ND

NPI number 1265093124 Active

Practice location

2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895

Fax (877) 651-1381

Mailing address

PO Box 13238
Grand Forks, ND 58208-3238

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Family Nurse Practitioner 363LF0000XF06191893 (ND)
Family Nurse Practitioner Primary 363LF0000XRH1306 (ND)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1265093124

McKenzie Ann Disrud, FNP's National Provider Identifier is 1265093124, issued on Jun 21, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 30, 2025.