Peter S Park, FNP
NPI #1154937241 in Grandview, Washington
Provider Information
- NPI Number
- 1154937241
- Entity Type
- Individual
- Name
- Peter S Park, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Sep 23, 2020
- Last Updated
- Jun 2, 2021
Practice Location
- Address
- 1003 WALLACE WAY
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-8805
- Phone
- (509) 786-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Practitioner |
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