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: 1225624711
4771 N SUMMIT WAY, SUITE 110
MERIDIAN, ID 836465017
2088303156
Source: CMS National Downloadable File, September 2026.