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Cleopatra C Park, NP
Pediatric Nurse Practitioner in Phoenix, Arizona
NPI 1194839852

Cleopatra C Park is a Pediatric Nurse Practitioner based in Phoenix, AZ and is specialized in Pediatrics. Cleopatra C Park practices in Phoenix, AZ and has the professional credentials of NP. The NPI Number for Cleopatra C Park is 1194839852 and holds a License No. 076714 (Arizona).

The current practice location address for Cleopatra C Park is 3864 N 27Th Ave, Phoenix, AZ and can be reached out via phone at 602-685-6000 and via fax at 602-212-6250.

Location: 3864 N 27Th Ave, Phoenix, AZ, 85012-2929
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Provider Profile Details
NPI Number
1194839852
Provider Name
Cleopatra C Park
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3864 N 27Th Ave, Phoenix, AZ, 85012-2929
Phone Number
602-685-6000
Fax Number
602-212-6250
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
841264 05 AZ
institution
Provider Business Practice Location Address Details
Address
3864 N 27Th Ave
City
State
Zip
85017-4703
Phone Number
602-685-6000
Fax Number
602-212-6250
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Provider Business Mailing Address Details
Address
3864 N 27Th Ave
City
State
Zip
85017-4703
Phone Number
602-685-6000
Fax Number
602-212-6250
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
AP1818 (Arizona)
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.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP1818 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
076714 (Arizona)
Definition
Definition to come...
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