NPI 1679423081

Heather Rae Mikkelsen

Practitioner Community Health Worker Fargo, ND

Practice location

Address: 4025 9th Ave S STE D, Fargo, ND 58103-2101
Phone: (701) 551-2446
Fax: (701) 364-9938

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence TECH581 (ND)

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Registry record

NPI: 1679423081
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2026
Record last updated: 29 Jun 2026

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.