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
Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1124211495
PO BOX, SUITE 1387
Hayden, ID 838351387
HAYDEN, ID 83835
Source: CMS National Downloadable File, September 2026.