Individual provider · Type 1 NPI
Changhee Park, NP
Primary Care Nurse Practitioner · Boston, MA
NPI number
1013570605
Active
Practice location
30 Winter St
Boston, MA 02108-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2307013 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1013570605
Changhee Park, NP's National Provider Identifier is 1013570605, issued on Apr 18, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boston, MA. The record was last updated on Apr 18, 2019.