Provider Demographics
NPI:1821722471
Name:FJELDHEIM, ALEX JAMES (FNP DNP)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:JAMES
Last Name:FJELDHEIM
Suffix:
Gender:M
Credentials:FNP DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W ELM AVE
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:ND
Mailing Address - Zip Code:58552-2100
Mailing Address - Country:US
Mailing Address - Phone:701-254-4511
Mailing Address - Fax:701-254-0112
Practice Address - Street 1:1200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-2502
Practice Address - Country:US
Practice Address - Phone:701-742-3291
Practice Address - Fax:701-742-3639
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR52878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily