Provider Demographics
NPI:1386653293
Name:NYGAARD, ANNE MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:NYGAARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:ACHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 DEMERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201
Mailing Address - Country:US
Mailing Address - Phone:701-780-1891
Mailing Address - Fax:701-780-1942
Practice Address - Street 1:960 S COLUMBIA RD - ALTRU CANCER CENTER
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-780-5400
Practice Address - Fax:701-780-1942
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDF0606070363LF0000X
MNR148021-8363LF0000X
NDR28626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP70675OtherHEALTHPARTNERS
NA4571048345OtherPREFERRED ONE
MN418960000Medicaid
0124535OtherMEDICA
ND27415OtherBCBS
MN560G0NYOtherBCBS
ND19842Medicaid
NA4571048345OtherPREFERRED ONE
ND27415OtherBCBS
Q70926Medicare UPIN