Individual provider · Type 1 NPI
Ellen Chang Park, NP
Adult Health Nurse Practitioner · San Francisco, CA
NPI number
1659007797
Active
Practice location
2 Koret Way
San Francisco, CA 94143-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95021937 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659007797
Ellen Chang Park, NP's National Provider Identifier is 1659007797, issued on Jul 30, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Francisco, CA. The record was last updated on Oct 20, 2022.