Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MARIE PARK, FNP-BC
Active Sole ProprietorLISA MARIE PARK, FNP-BC is a Family Medicine healthcare provider located in TRIADELPHIA, West Virginia. NPI 1639944382 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TRIADELPHIA, WV
Registration Details
- NPI Number
- 1639944382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2023 (2.7330408784415 yrs)
- Last Updated
- Nov 21, 2023
- License
-
117804 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4509 NATIONAL RDTRIADELPHIA, WV, 260592013Browse WV providers · Browse ZIP 26059
- Phone
- 3046390873
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TRIADELPHIA, WV
| Name | Credential | NPI |
|---|---|---|
| MAX L WEST | M.D. | 1114020419 |
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.