Wellformed AI

NPI 1386274918 · live from the CMS NPI Registry

Melissa Ann Knopik, PNP

Nurse Practitioner, Pediatrics in Fargo, ND. National Provider Identifier 1386274918, active.

NPI record

NPI1386274918 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location3000 32nd Ave S, Fargo, ND 58103
Practice phone701-364-8000
Mailing address1702 University Dr S, Fargo, ND 58103
EnumeratedJanuary 23, 2020
Last updatedMarch 2, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics363LP0200X6950 (MN)
Nurse Practitioner, Pediatrics primary363LP0200XR48816 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.