person
Janie Park, RNFA
Surgical Physician Assistant in Mesa, Arizona
NPI 1003820010

Janie Park is a Surgical Physician Assistant based in Mesa, AZ and is specialized in Surgical. Janie Park practices in Mesa, AZ and has the professional credentials of RNFA. The NPI Number for Janie Park is 1003820010 and holds a License No. RN 032660 (Arizona).

The current practice location address for Janie Park is 604 W Medina Ave, Mesa, AZ and can be reached out via phone at 480-545-2610 and via fax at 480-545-2673.

Location: 604 W Medina Ave, Mesa, AZ, 85210-6848
person
Provider Profile Details
NPI Number
1003820010
Provider Name
Janie Park
Credential
RNFA
Provider Entity Type
Individual
Gender
Female
Address
604 W Medina Ave, Mesa, AZ, 85210-6848
Phone Number
480-545-2610
Fax Number
480-545-2673
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1Z4903 01 AZ HEALTHNET AZ
AZ0169450 01 AZ BCBS AZ
institution
Provider Business Practice Location Address Details
Address
604 W Medina Ave
City
State
Zip
85210-6848
Phone Number
480-545-2610
Fax Number
480-545-2673
person
Provider Business Mailing Address Details
Address
604 W Medina Ave
City
State
Zip
85210-6848
Phone Number
480-545-2610
Fax Number
480-545-2673
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
RN 032660 (Arizona)
Definition
Definition to come...
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