Individual provider · Type 1 NPI
Lisa Rose Moen, APRN-CNP
Nurse Practitioner · Fargo, ND
Practice location
2101 Elm St N
Fargo, ND 58102
Fax (701) 237-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R34505 (ND) |
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 1982955159
Lisa Rose Moen, APRN-CNP's National Provider Identifier is 1982955159, issued on Sep 27, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Jan 2, 2026.