NPI 1962676635 · live from the CMS NPI Registry
Vicki L Andvik, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1962676635, active.
NPI record
| NPI | 1962676635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2400 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-234-2000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | April 14, 2008 |
| Last updated | October 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0693 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.