NPI 1043945397
Kelsey Vivatson, PMHNPBCAPRN
Practice location
- Address
- 2534 17th Ave S STE E, Grand Forks, ND 58201-5215
- Phone
- (701) 885-4551
- Fax
- (701) 757-1351
- Mailing address
- PO Box 5459, Grand Forks, ND 58206-5459
Registered specialties (2)
Psychiatric/Mental Health Nurse Practitioner
Primary
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1043945397
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jul 2022
- Record last updated
- 18 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.