Individual provider · Type 1 NPI

Peter S. Park, FNP

Nurse Practitioner · Grandview, WA

NPI number 1154937241 Active

Practice location

1003 Wallace Way
Grandview, WA 98930-8805

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000XAP61125867 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154937241

Peter S. Park, FNP's National Provider Identifier is 1154937241, issued on Sep 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grandview, WA. The record was last updated on Jun 2, 2021.