Individual provider · Type 1 NPI
Grace Woodrow Park, NP
Nurse Practitioner · Santa Ana, CA
Practice location
1801 Park Court Pl Bldg H
Santa Ana, CA 92701-5028
Mailing address
1400 Shattuck Ave Ste 12
Berkeley, CA 94709-1411
Other practice locations
- 1400 Shattuck Ave Ste 12, Berkeley, CA 94709-1411 · (510) 224-5354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 804756 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95013933 (CA) |
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 1306127964
Grace Woodrow Park, NP's National Provider Identifier is 1306127964, issued on Sep 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 28, 2022.