Healthcare Provider Details
I. General information
NPI: 1174406011
Provider Name (Legal Business Name): NURTURE SLEEP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2025
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6500 BARRIE RD
EDINA MN
55435-2306
US
IV. Provider business mailing address
330 S SECOND AVE SUITE 200 # 1200
MINNEAPOLIS MN
55401
US
V. Phone/Fax
- Phone: 612-263-7720
- Fax: 612-473-2546
- Phone: 646-744-5128
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAURABH
GUPTA
Title or Position: CEO
Credential:
Phone: 646-744-5128