Individual provider · Type 1 NPI
Haerim Kwon Pak, NP
Women's Health Nurse Practitioner · Bedford, IN
NPI number
1457051625
Active
Practice location
2900 16th St
Bedford, IN 47421-3510
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 · (812) 353-5252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0033230 (OH) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 71017394A (IN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1457051625
Haerim Kwon Pak, NP's National Provider Identifier is 1457051625, issued on Mar 7, 2023. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Bedford, IN. The record was last updated on Jun 8, 2026.