Individual provider · Type 1 NPI
Ana Park
Family Nurse Practitioner · Glen Cove, NY
NPI number
1083353361
Active
Practice location
10 Medical Plz Ste 208
Glen Cove, NY 11542-2101
Mailing address
54 Central Park Rd
Plainview, NY 11803-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 686204 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 350166 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083353361
Ana Park's National Provider Identifier is 1083353361, issued on Jun 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen Cove, NY. The record was last updated on Aug 15, 2022.