Individual
JANIE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
604 W MEDINA AVE, MESA, AZ 85210-6848
(480) 545-2610
(480) 545-2673
Mailing address
604 W MEDINA AVE, MESA, AZ 85210-6848
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RN 032660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4903
HEALTHNET AZ
AZ
01
—
AZ0169450
BCBS AZ
AZ
Enumeration date
07/27/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us