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NPI Profile for ANNIE K PARK in ELLENSBURG, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Neonatal, Low-Risk |
163WN0003X |
| NPI # | 1659065290 |
|
| Status | Active | |
| Credentials | ARNP FNP-C | |
| Entity | Individual | |
| Enumeration date | 06/06/2023 | |
| Last updated | 10/16/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNIE K PARK
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ANNIE K PARK, ARNP FNP-C