Individual provider · Type 1 NPI
Brandon D. Park, APRN
Nurse Practitioner · Ogden, UT
Practice location
4700 Harrison Blvd
Ogden, UT 84403-4303
Fax (801) 475-3301
Mailing address
PO Box 5546
Denver, CO 80217-5546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3749704405 (UT) |
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 1811960123
Brandon D. Park, APRN's National Provider Identifier is 1811960123, issued on Feb 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ogden, UT. The record was last updated on Oct 25, 2024.