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Search › North Dakota › 101YA0400X

Heather Moen, LAC

NPI 1326789405 · on the registry since 2022

Practice

Address
2424 32nd Ave S Ste 103
Grand Forks, ND 58201
Phone
(602) 248-8886
Fax
(602) 854-0504
Organisation at this address
Embrace Pharmacy Inc
Winmar Diagnostics North Central, Inc.
Community Medical Services Montana Private Llc
Community Medical Services Montana-Private, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
174400000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota