Individual provider · Type 1 NPI

Krystle Haver Park, APRN

Women's Health Nurse Practitioner · Newark, NJ

NPI number 1417836339 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

42 Forrest Rd
Randolph, NJ 07869-4328

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X26NJ15400100 (NJ)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1417836339

Krystle Haver Park, APRN's National Provider Identifier is 1417836339, issued on Aug 27, 2025. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Newark, NJ. The record was last updated on Aug 27, 2025.