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Mie Hea Park
Nurse Practitioner in Englewood, New Jersey
NPI 1902294598

Mie Hea Park is a Nurse Practitioner based in Bensalem, NJ. Mie Hea Park practices in Englewood, NJ. The NPI Number for Mie Hea Park is 1902294598 and holds a License No. 26NJ00544400 (New Jersey).

The current practice location address for Mie Hea Park is 475 Grand Ave, Englewood, NJ and can be reached out via phone at 201-541-1111. You can also correspond with Mie Hea Park through the mailing address at 2290 GALLOWAY RD APT B9, BENSALEM, PA - 19020-2956 (mailing address contact number: ).

Location: 475 Grand Ave, Englewood, NJ, 19020-2956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902294598
Provider Name
Mie Hea Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
475 Grand Ave, Englewood, NJ, 19020-2956
Phone Number
201-541-1111
Fax Number
Provider Enumeration Date
01/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4965
Phone Number
201-541-1111
Fax Number
person
Provider Business Mailing Address Details
Address
475 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4965
Phone Number
201-541-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
SP019778 (Pennsylvania)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
26NJ00544400 (New Jersey)
Definition
Definition to come...
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