Individual provider · Type 1 NPI

Innah Park, NP

Nurse Practitioner · Ann Arbor, MI

NPI number 1972874196 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Call (734) 936-4000 Map

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

  • 1500 East Medical Center Drive, B1 Floor Taubman Center Recp Mos Room 126, Ann Arbor, MI 48109-5317 · (734) 232-2867

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704274574 (MI)

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 1972874196

Innah Park, NP's National Provider Identifier is 1972874196, issued on Jan 19, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 28, 2025.