Individual provider · Type 1 NPI

Samuel Thomas Goracke, CNP

Nurse Practitioner · St. Louis Park, MN

NPI number 1144905159 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (320) 424-0570 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

640 Jackson St, St. Paul, MN 55101-2502 · (320) 424-0570

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	00000000 (MN)
Nurse Practitioner Primary	363L00000X	10717 (MN)

Nurse Practitioner: (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 wit…

681 other providers at this address

Other nurse practitioner providers in St. Louis Park

See all in St. Louis Park →

About NPI 1144905159

Samuel Thomas Goracke, CNP's National Provider Identifier is 1144905159, issued on Jun 19, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Sep 27, 2023.