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Samuel Thomas Goracke, CNP
Nurse Practitioner in St Louis Park, Minnesota
NPI 1144905159

Samuel Thomas Goracke is a Nurse Practitioner based in Bloomington, MN. Samuel Thomas Goracke practices in St Louis Park, MN and has the professional credentials of CNP. The NPI Number for Samuel Thomas Goracke is 1144905159 and holds a License No. 00000000 (Minnesota).

The current practice location address for Samuel Thomas Goracke is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 320-424-0570.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144905159
Provider Name
Samuel Thomas Goracke
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Phone Number
320-424-0570
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
320-424-0570
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
320-424-0570
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
10717 (Minnesota)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
00000000 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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