Individual provider · Type 1 NPI
Shelley J. Park, N.P.
Nurse Practitioner · Redlands, CA
Practice location
2 W Fern Ave
Redlands, CA 92373-5916
Fax (909) 796-4158
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14554 (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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Other nurse practitioner providers in Redlands
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About NPI 1386683480
Shelley J. Park, N.P.'s National Provider Identifier is 1386683480, issued on Jun 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Redlands, CA. The record was last updated on Jan 5, 2026.