Individual provider · Type 1 NPI

Theresa Hyejin Park, FNP-BC

Family Nurse Practitioner · Washington, DC

NPI number 1285219147 Active

Practice location

110 Irving St NW
Washington, DC 20010-3017

Call (202) 877-7783 Map

Fax (410) 230-7834

Mailing address

2726 Gallows Rd Apt 1112
Vienna, VA 22180-7152

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	0024180094 (VA)
Family Nurse Practitioner Primary	363LF0000X	RN1031488 (DC)

Family Nurse Practitioner: Definition to come...

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About NPI 1285219147

Theresa Hyejin Park, FNP-BC's National Provider Identifier is 1285219147, issued on Mar 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Washington, DC. The record was last updated on Mar 12, 2021.