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Suah Park
Family Nurse Practitioner in Lakewood, Washington
NPI 1316563091

Suah Park is a Family Nurse Practitioner based in Lakewood, WA and is specialized in Family. Suah Park practices in Lakewood, WA. The NPI Number for Suah Park is 1316563091 and holds a License No. 0001286995 (Washington).

The current practice location address for Suah Park is 8725 S Tacoma Way, Lakewood, WA and can be reached out via phone at 253-535-5552.

Location: 8725 S Tacoma Way, Lakewood, WA, 98499-3176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316563091
Provider Name
Suah Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
8725 S Tacoma Way, Lakewood, WA, 98499-3176
Phone Number
253-535-5552
Fax Number
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8725 S Tacoma Way
City
Lakewood
State
Washington
Zip
98499-4544
Phone Number
253-535-5552
Fax Number
person
Provider Business Mailing Address Details
Address
8725 S Tacoma Way
City
Lakewood
State
Washington
Zip
98499-4544
Phone Number
253-535-5552
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
AP61084806 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0001286995 (Virginia)
Definition
Definition to come...
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