Individual provider · Type 1 NPI
Anna Park, NP
Adult Health Nurse Practitioner · Flushing, NY
NPI number
1083260095
Active
Practice location
4004 Bowne St Apt 1I
Flushing, NY 11354-6129
Mailing address
2276 41st St Apt 3A
Astoria, NY 11105-1723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309359 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1083260095
Anna Park, NP's National Provider Identifier is 1083260095, issued on Aug 15, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Flushing, NY. The record was last updated on Aug 15, 2019.