Individual provider · Type 1 NPI
Minna Park, NP
Family Nurse Practitioner · Flushing, NY
NPI number
1962831537
Active
Practice location
16410 Northern Blvd, Suite 206
Flushing, NY 11358-2677
Mailing address
216 W 100th St, Apt 920
New York, NY 10025-5018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 337877 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962831537
Minna Park, NP's National Provider Identifier is 1962831537, issued on Nov 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flushing, NY. The record was last updated on Nov 5, 2013.