Healthcare Provider Details

I. General information

NPI: 1821722471
Provider Name (Legal Business Name): ALEX JAMES FJELDHEIM FNP DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N 7TH ST
OAKES ND
58474-2502
US

IV. Provider business mailing address

111 W ELM AVE
LINTON ND
58552-2100
US

V. Phone/Fax

Practice location:
  • Phone: 701-742-3291
  • Fax: 701-742-3639
Mailing address:
  • Phone: 701-254-4511
  • Fax: 701-254-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR52878
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: