Active NPIIndividual providerSole proprietor

Ms. Seoun H Park, ANP

Nurse Practitioner, Psych/Mental Health in Clifton, New Jersey

NPI Number1396168480
Practice location
992 Clifton Ave, Clifton, NJ 07013-3502
Fax
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Last updated
October 8, 2024

Seoun H Park is a Nurse Practitioner, Psych/Mental Health based in Clifton, NJ. Seoun H Park practices in Clifton, NJ and has the professional credentials of ANP. The NPI Number for Seoun H Park is 1396168480 and holds a License No. 680166 (NY). The current practice location address for Seoun H Park is 992 Clifton Ave, Clifton, NJ 07013-3502 and can be reached out via phone at 862-249-1266.

Provider Profile Details

NPI Number
1396168480
Provider Name
Seoun H Park
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
992 Clifton Ave, Clifton, NJ 07013-3502
Phone Number
862-249-1266
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2014
Last Update Date
October 8, 2024
Certification Date
October 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
992 Clifton Ave
Clifton, NJ 07013-3502
Zip
07013-3502
Phone Number
862-249-1266
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
16A Mara RD
Lake Hiawatha, NJ 07034-1350
City
Lake Hiawatha
State
NJ
Zip
07034-1350
Phone Number
201-602-2726

License Information

License Number (1)
680166
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ15069000
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Seoun H Park, ANP?

The NPI number of Ms. Seoun H Park, ANP is 1396168480. It was assigned on January 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Seoun H Park, ANP?

Ms. Seoun H Park, ANP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 680166.

Where does Ms. Seoun H Park, ANP practice?

The practice location is 992 Clifton Ave, Clifton, NJ 07013-3502. The office can be reached at 862-249-1266 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396168480 directly on the NPPES registry website.

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