Individual provider · Type 1 NPI
Kimiko Parks, AGPCNP
Nurse Practitioner · Southfield, MI
Practice location
29866 Spring Hill Dr
Southfield, MI 48076-5735
Mailing address
19785 W 12 Mile Rd Ste 389
Southfield, MI 48076-2584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704276586 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704276586 (MI) |
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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About NPI 1609393313
Kimiko Parks, AGPCNP's National Provider Identifier is 1609393313, issued on Aug 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on Feb 9, 2021.