Healthcare Provider Details

I. General information

NPI: 1124959721
Provider Name (Legal Business Name): ALEKSEY RYAN DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEKSEY MARTINEZ

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 32ND AVE E STE 100
WEST FARGO ND
58078-8480
US

IV. Provider business mailing address

567 32ND AVE E STE 100
WEST FARGO ND
58078-8480
US

V. Phone/Fax

Practice location:
  • Phone: 701-941-3100
  • Fax:
Mailing address:
  • Phone: 701-941-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR46423
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: