Kimberly Ann Moon
Nurse Anesthetist, Certified Registered in Fargo, ND. Individual provider (NPI-1).
NPI number1083172969
StatusActive
Last updated in NPPESNov 1, 2025
Details
- NPI
- 1083172969
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Moon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2019
- Certification date
- Nov 1, 2025
- Last updated
- Nov 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R35271 | ND | Yes |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-417-2575
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
3000 32nd Ave S
Fargo, ND 58103-6132
Fargo, ND 58103-6132
Phone 218-364-8000
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All 225 Certified Registered Nurse Anesthetist providers in Fargo · All 8,598 providers in Fargo
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