Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Abolfazl Kowsari, CNP

Individual provider Family Nurse Practitioner · NPI 1073172003

Mr. Abolfazl Kowsari, CNP is a Nurse Practitioner in Maple Grove, Minnesota. Qualified in 2018, 8 years ago. Practices with Integrated Wound Care Minnesota PLLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

9512 Pineview Ln N
Maple Grove, MN 55369-7135
Phone: (763) 923-5608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6617 (MN)

Record details

NPI number1073172003
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Integrated Wound Care Minnesota Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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