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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY LYNN PARK, MSN, CRNP, FNP-C

Active

MALLORY LYNN PARK, MSN, CRNP, FNP-C is a General Practice healthcare provider located in RIDGWAY, Pennsylvania. NPI 1114755345 is currently active in the NPPES registry. Verify at CMS.

General Practice · RIDGWAY, PA

Registration Details

NPI Number
1114755345
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2024 (2.0608966510992 yrs)
Last Updated
Jul 22, 2024
Licenses
SP030067 (PA)
SP030067 (PA)

Practice Information

Address
250 W MAIN ST
RIDGWAY, PA, 158531611
Browse PA providers · Browse ZIP 15853
Phone
8147728122
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.