IndividualActive
Abolfazl Kowsari, CNP
NPI 1073172003 · Family Nurse Practitioner · Maple Grove, MN
Provider details
- NPI number
- 1073172003
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6617 (MN)
Mailing address
9512 Pineview Ln N
Maple Grove, MN 55369-7135
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2019-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.