Individual provider · Type 1 NPI

Mie Hea Park

Nurse Practitioner · Englewood, NJ

NPI number 1902294598 Active

Practice location

475 Grand Ave, 2nd Floor
Englewood, NJ 07631-4965

Mailing address

2290 Galloway Rd Apt B9
Bensalem, PA 19020-2956

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X26NJ00544400 (NJ)
Nurse Practitioner Primary 363L00000XSP019778 (PA)

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 1902294598

Mie Hea Park's National Provider Identifier is 1902294598, issued on Jan 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Englewood, NJ. The record was last updated on Feb 8, 2019.