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Songki Park, NP
Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia
NPI 1184173296

Songki Park is a Psychiatric/Mental Health Nurse Practitioner based in Fairfax, VA and is specialized in Psychiatric/Mental Health. Songki Park practices in Fairfax, VA and has the professional credentials of NP. The NPI Number for Songki Park is 1184173296 and holds a License No. 0024174042 (Virginia).

The current practice location address for Songki Park is 8500 Executive Park Ave Ste 202, Fairfax, VA and can be reached out via phone at 703-852-7020.

Location: 8500 Executive Park Ave Ste 202, Fairfax, VA, 22031-2253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184173296
Provider Name
Songki Park
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8500 Executive Park Ave Ste 202, Fairfax, VA, 22031-2253
Phone Number
703-852-7020
Fax Number
Provider Enumeration Date
09/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8500 Executive Park Ave Ste 202
City
Fairfax
State
Virginia
Zip
22031-2253
Phone Number
703-852-7020
Fax Number
person
Provider Business Mailing Address Details
Address
8500 Executive Park Ave Ste 202
City
Fairfax
State
Virginia
Zip
22031-2253
Phone Number
703-852-7020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
0024174042 (Virginia)
Definition
Definition to come...
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