person
Grace Miran Park, FNP
Family Nurse Practitioner in Federal Way, Washington
NPI 1811363195

Grace Miran Park is a Family Nurse Practitioner based in Federal Way, WA and is specialized in Family. Grace Miran Park practices in Federal Way, WA and has the professional credentials of FNP. The NPI Number for Grace Miran Park is 1811363195 and holds a License No. NP95002165 (Washington).

The current practice location address for Grace Miran Park is 33507 9Th Ave S Ste A, Federal Way, WA and can be reached out via phone at 253-874-5404 and via fax at 253-874-8964.

Location: 33507 9Th Ave S Ste A, Federal Way, WA, 98003-6397
person
Provider Profile Details
NPI Number
1811363195
Provider Name
Grace Miran Park
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
33507 9Th Ave S Ste A, Federal Way, WA, 98003-6397
Phone Number
253-874-5404
Fax Number
253-874-8964
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33507 9Th Ave S Ste A
City
State
Zip
98003-6397
Phone Number
253-874-5404
Fax Number
253-874-8964
person
Provider Business Mailing Address Details
Address
33507 9Th Ave S Ste A
City
State
Zip
98003-6397
Phone Number
253-874-5404
Fax Number
253-874-8964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60616120 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
NP95002165 (California)
Definition
Definition to come...
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