Search › Minnesota › 1041C0700X
Mya Gietzen
NPI 1992561625 · on the registry since 2024
Practice
- Address
- 4000 28th Ave S
Moorhead, MN 56560 - Phone
- (701) 234-3200
- Organisation at this address
- Sanford Medical Center Fargo
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 41
Additional practice sites
- 801 Broadway N, Fargo, ND
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
104100000X - Licence states on file
- ND, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota