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

PETER S PARK, FNP

Active

PETER S PARK, FNP is a Nurse Practitioner healthcare provider located in GRANDVIEW, Washington. NPI 1154937241 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GRANDVIEW, WA

Registration Details

NPI Number
1154937241
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2020 (5.8559584121816 yrs)
Last Updated
Jun 2, 2021
License
AP61125867 (WA)

Practice Information

Address
1003 WALLACE WAY
GRANDVIEW, WA, 989308805
Browse WA providers · Browse ZIP 98930
Phone
5097862222
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in GRANDVIEW, WA

Name Credential NPI
DR. PHOEBE DANG LIM-VUONG DNP, FNP-BC 1780369694
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.