Individual provider · Type 1 NPI

Mallory Lynn Park, MSN, CRNP, FNP-C

General Practice Physician · Ridgway, PA

NPI number 1114755345 Active

Practice location

250 W Main St
Ridgway, PA 15853-1611

Call (814) 772-8122 Map

Mailing address

101 Jenks St
Brookville, PA 15825-2303

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XSP030067 (PA)
General Practice Physician Primary 208D00000XSP030067 (PA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

About NPI 1114755345

Mallory Lynn Park, MSN, CRNP, FNP-C's National Provider Identifier is 1114755345, issued on Jul 22, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ridgway, PA. The record was last updated on Jul 22, 2024.