Individual provider · Type 1 NPI

Nicole Luanne Park, N.P.

Adult Health Nurse Practitioner · Palo Alto, CA

NPI number 1467708198 Active

Practice location

795 El Camino Real, Clark Building, Level 3
Palo Alto, CA 94301-2302

Call (650) 321-4121 Map

Mailing address

2350 W El Camino Real, 2nd Floor
Mountain View, CA 94040-6203

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X707298 (CA)
Adult Health Nurse Practitioner Primary 363LA2200X22103 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1467708198

Nicole Luanne Park, N.P.'s National Provider Identifier is 1467708198, issued on Jul 31, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Palo Alto, CA. The record was last updated on Oct 12, 2016.