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 / MN
NURSE PRACTITIONER
Graduated: 2020
NPI: 1396357786
11670 FOUNTAINS DR, SUITE 200
MAPLE GROVE, MN 553697195
6124886601
Source: CMS National Downloadable File, September 2026.