Individual provider · Type 1 NPI

Kaitlin Noel Park, FNP-C

Family Nurse Practitioner · Michigan City, IN

NPI number 1083324867 Active

Practice location

3500 Franciscan Way Ste 400
Michigan City, IN 46360-0033

Fax (219) 878-8331

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X28215463A (IN)
Family Nurse Practitioner Primary 363LF0000X71013386A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1083324867

Kaitlin Noel Park, FNP-C's National Provider Identifier is 1083324867, issued on Dec 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Michigan City, IN. The record was last updated on Jun 19, 2024.