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 / CA
NURSE PRACTITIONER
Graduated: 2024
NPI: 1821976366
39210 STATE ST
FREMONT, CA 945381456
PO BOX
MACON, GA 31221
Source: CMS National Downloadable File, September 2026.