Individual provider · Type 1 NPI

Grace Dain Park

Critical Care Medicine Registered Nurse · New York, NY

NPI number 1205677085 Active

Practice location

560 W 168th St
New York, NY 10032-3917

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X1045355 (TX)
Critical Care Medicine Registered Nurse Primary 163WC0200X881095 (NY)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1205677085

Grace Dain Park's National Provider Identifier is 1205677085, issued on Jun 4, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in New York, NY. The record was last updated on Jun 4, 2024.