Individual provider · NPI-1

Vicki L Andvik, PA-C

Physician Assistant · Fargo, ND

NPI number1962676635
StatusActive
Last updated in NPPESOct 21, 2026

Details

NPI
1962676635
Entity type
Individual (NPI-1)
Name
Vicki L Andvik
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2008
Certification date
Oct 21, 2026
Last updated
Oct 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPAC0693NDYes

Practice location

2400 32nd Ave S
Fargo, ND 58103-5800

Phone 701-234-2000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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