Individual provider · Type 1 NPI
Kimberly Spivack, FNP-C
Family Nurse Practitioner · Grand Forks, ND
NPI number
1376357814
Active
Practice location
1300 S Columbia Rd
Grand Forks, ND 58201-4012
Mailing address
PO Box 860939
Minneapolis, MN 55486-0939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 204796 (ND) |
| Nurse Practitioner | 363L00000X | 204796 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376357814
Kimberly Spivack, FNP-C's National Provider Identifier is 1376357814, issued on Feb 5, 2025. 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 Sep 29, 2026.