Individual provider · Type 1 NPI

Nomin Park, NP

Family Nurse Practitioner · Medford, OR

NPI number 1801645742 Active

Practice location

1003 E Main St Ste 104
Medford, OR 97504-7140

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X10026206 (OR)
Family Nurse Practitioner Primary 363LF0000X10026206 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1801645742

Nomin Park, NP's National Provider Identifier is 1801645742, issued on May 14, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Oct 9, 2024.