Individual provider · Type 1 NPI

Ashley Park

Pediatric Nutrition Registered Dietitian · Salt Lake City, UT

NPI number 1255119012 Active

Practice location

857 E 200 S
Salt Lake City, UT 84102-2317

Call (801) 487-3276 Map

Other practice locations

  • 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 · (801) 662-5325

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X14189727-4901 (UT)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1255119012

Ashley Park's National Provider Identifier is 1255119012, issued on Sep 21, 2023. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 28, 2025.