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: 2019
NPI: 1790334043
10535 33RD AVE N
PLYMOUTH, MN 554413122
PO BOX
DALLAS, TX 75284
Source: CMS National Downloadable File, September 2026.