Individual provider · Type 1 NPI
Kristin A. Park, DNP
Pediatric Nurse Practitioner · Covington, WA
NPI number
1558763516
Active
Practice location
17700 SE 272nd St # 400
Covington, WA 98042-4951
Fax (253) 372-6527
Mailing address
10863 SE 218th Pl
Kent, WA 98031-1373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 814227 (NV) |
| Family Nurse Practitioner | 363LF0000X | AP60491879 (WA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP60491879 (WA) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Covington
About NPI 1558763516
Kristin A. Park, DNP's National Provider Identifier is 1558763516, issued on Sep 22, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Covington, WA. The record was last updated on Feb 21, 2023.