Individual provider · Type 1 NPI

Katie Marie Moen, FNP-C

Nurse Practitioner · Sioux Falls, SD

NPI number 1912676149 Active

Practice location

6110 S Minnesota Ave
Sioux Falls, SD 57108-2549

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

  • 2100 S Marion Rd, Sioux Falls, SD 57106-3646 · (605) 322-1730
  • 1305 W 18th St, Sioux Falls, SD 57105-0401 · (605) 333-1000

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003XR047682 (SD)
Nurse Practitioner Primary 363L00000XCP002201 (SD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912676149

Katie Marie Moen, FNP-C's National Provider Identifier is 1912676149, issued on Sep 10, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sioux Falls, SD. The record was last updated on May 26, 2022.