Dr. Krystle H Park, APRN
Nurse Practitioner, Women's Health in Newark, New Jersey
1417836339- Practice location
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone
- 973-926-7000
- Fax
- —
- Last updated
- August 27, 2025
Krystle Haver Park is a Nurse Practitioner, Women's Health based in Newark, NJ. Krystle Haver Park practices in Newark, NJ and has the professional credentials of APRN. The NPI Number for Krystle Haver Park is 1417836339 and holds a License No. 26NJ15400100 (NJ). The current practice location address for Krystle Haver Park is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.
Provider Profile Details
- NPI Number
- 1417836339
- Provider Name
- Krystle Haver Park
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone Number
- 973-926-7000
- Primary Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 27, 2025
- Last Update Date
- August 27, 2025
- Certification Date
- July 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07112-2027 - City
- Newark
- State
- New Jersey
- Zip
- 07112-2027
- Phone Number
- 973-926-7000
Provider Business Mailing Address Details
- Address
- 42 Forrest RD
Randolph, NJ 07869-4328 - City
- Randolph
- State
- NJ
- Zip
- 07869-4328
- Phone Number
- 908-675-1765
License Information
- License Number
- 26NJ15400100
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Women's Health providers near Newark, NJ
View all Nurse Practitioner, Women's Health providers in Newark →- Ada BanksNurse Practitioner, Women's Health · NPI 1912109828
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- Carolyn R St Hilaire, WHNP-BCNurse Practitioner, Women's Health · NPI 1699265405
- Gina M Proctor, CRNP WHNP-BCNurse Practitioner, Women's Health · NPI 1982325015
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Frequently Asked Questions
What is the NPI number of Dr. Krystle H Park, APRN?
The NPI number of Dr. Krystle H Park, APRN is 1417836339. It was assigned on August 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Dr. Krystle H Park, APRN?
Dr. Krystle H Park, APRN is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in NJ under license number 26NJ15400100.
Where does Dr. Krystle H Park, APRN practice?
The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (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 1417836339 directly on the NPPES registry website.