Mallory Lynn Park, MSN, CRNP, FNP-C

NPI #1114755345 in Ridgway, Pennsylvania

Provider Information

NPI Number: 1114755345
Entity Type: Individual
Name: Mallory Lynn Park, MSN, CRNP, FNP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MSN, CRNP, FNP-C
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 250 W MAIN ST
City: Ridgway
State: Pennsylvania
ZIP Code: 15853-1611
Phone: (814) 772-8122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X	Primary

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