This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / ID
NURSE PRACTITIONER
Graduated: 2020
NPI: 1003409913
ADDI
1526 W USTICK RD, SUITE 110
MERIDIAN, ID 836467741
2083705888
Source: CMS National Downloadable File, September 2026.