Individual provider · Type 1 NPI

Stephen Hanisee Park, RN

Home Health Registered Nurse · Viroqua, WI

NPI number 1013986652 Active

Practice location

S7208A Yanske Road
Viroqua, WI 54665-5466

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XNone listed

Home Health Registered Nurse: Definition to come...

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About NPI 1013986652

Stephen Hanisee Park, RN's National Provider Identifier is 1013986652, issued on Mar 16, 2006. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Viroqua, WI. The record was last updated on Jul 13, 2026.