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Peter S Park, FNP
Nurse Practitioner in Grandview, Washington
NPI 1154937241

Peter S Park is a Nurse Practitioner based in Grandview, WA. Peter S Park practices in Grandview, WA and has the professional credentials of FNP. The NPI Number for Peter S Park is 1154937241 and holds a License No. (Washington).

The current practice location address for Peter S Park is 1003 Wallace Way, Grandview, WA and can be reached out via phone at 509-786-2222.

Location: 1003 Wallace Way, Grandview, WA, 98930-8805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154937241
Provider Name
Peter S Park
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1003 Wallace Way, Grandview, WA, 98930-8805
Phone Number
509-786-2222
Fax Number
Provider Enumeration Date
09/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 Wallace Way
City
Grandview
State
Washington
Zip
98930-8805
Phone Number
509-786-2222
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Wallace Way
City
Grandview
State
Washington
Zip
98930-8805
Phone Number
509-786-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP61125867 (Washington)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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