Individual provider · Type 1 NPI

Avis L. Grothem, FNP/CNM

Obstetrics & Gynecology Nurse Practitioner · Fargo, ND

NPI number 1841379401 Active

Practice location

306 4th St N
Fargo, ND 58102-4820

Mailing address

PO Box 2625
Fargo, ND 58108-2625

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XR29668 (ND)
Obstetrics & Gynecology Nurse Practitioner 363LX0001XR0772147 (MN)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1841379401

Avis L. Grothem, FNP/CNM's National Provider Identifier is 1841379401, issued on Nov 3, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.