Individual provider · Type 1 NPI

Su Won Park, NP

Family Nurse Practitioner · Crowley, TX

NPI number 1265706402 Active

Practice location

825 S Crowley Rd
Crowley, TX 76036-3663

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X745143 (TX)
Family Nurse Practitioner Primary 363LF0000XAP121597 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1265706402

Su Won Park, NP's National Provider Identifier is 1265706402, issued on Mar 6, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crowley, TX. The record was last updated on Mar 18, 2025.