Individual provider · Type 1 NPI
Theresa Bark, FNP
Family Nurse Practitioner · Brea, CA
NPI number
1912464587
Active
Practice location
445 S Associated Rd
Brea, CA 92821-5802
Mailing address
3806 Riverside Dr
Chino, CA 91710-3066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95011303 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912464587
Theresa Bark, FNP's National Provider Identifier is 1912464587, issued on Mar 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brea, CA. The record was last updated on Mar 1, 2019.