Individual provider · Type 1 NPI

Michelle Myoungwoo Park, NP, RN

Family Nurse Practitioner · Berkeley, CA

NPI number 1346616745 Active

Practice location

3075 Adeline St Ste 280
Berkeley, CA 94703-2580

Mailing address

300 Corporate Pointe, Ste 465
Culver City, CA 90230-8706

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X847491 (CA)
Community Health Registered Nurse 163WC1500X87621 (CA)
Family Nurse Practitioner Primary 363LF0000X95002767 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1346616745

Michelle Myoungwoo Park, NP, RN's National Provider Identifier is 1346616745, issued on Aug 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 16, 2021.