Individual provider · Type 1 NPI

Christine Park, CPNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1730188699 Active

Practice location

347 Smith Ave N
St. Paul, MN 55102-2387

Call (651) 220-6789 Map

Fax (651) 220-6807

Mailing address

2910 Centre Pointe Dr, 35-121A
Roseville, MN 55113-1182

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	R134132-8 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730188699

Christine Park, CPNP's National Provider Identifier is 1730188699, issued on Jul 21, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Nov 30, 2007.