Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY LYNN PARK, MSN, CRNP, FNP-C
ActiveMALLORY 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 STRIDGWAY, PA, 158531611Browse 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.