Individual provider · Type 1 NPI
Paula Ann Park, FNP, MSN, BSN, RN
Family Nurse Practitioner · Lake Forest, CA
NPI number
1801494398
Active
Practice location
29300 Portola Pkwy Ste B
Lake Forest, CA 92630-8741
Mailing address
12270 Haven Cir
Riverside, CA 92503-5982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95012155 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1801494398
Paula Ann Park, FNP, MSN, BSN, RN's National Provider Identifier is 1801494398, issued on Oct 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 15, 2020.