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

MR. RYAN PARK, NP

Active Sole Proprietor

MR. RYAN PARK, NP is a Nurse Practitioner healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1760738728 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1760738728
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2012 (13.86622171067 yrs)
Last Updated
Mar 6, 2024
Licenses
APRN11030031 (FL)
NP-1200A (ID)
Sole Proprietor
Yes

Practice Information

Address
559 W TWINCOURT TRL STE 607-608
SAINT AUGUSTINE, FL, 320958805
Browse FL providers · Browse ZIP 32095
Phone
9042303006
Fax
8776388891
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in SAINT AUGUSTINE, FL

Name Credential NPI
LEIANE MOORE BOUDREAU ARNP 1588833958
KRISTI LYNN SWANSON APRN 1346702305
MS. CHANEL GRACE STARKE APRN 1568023844
ALMA MATHER APRN 1174165708
MS. KATRINA SHANELL GENERAL APRN 1053156141
BETHANY ANN BROWN ARNP 1083427447
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.