Individual
REGINA MIYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-4157
(513) 585-4244
Mailing address
2139 AUBURN AVE # 4-7, CINCINNATI, OH 45219-2906
(513) 263-8551
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.022288
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.022288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281246
—
OH
Enumeration date
12/31/2015
Last updated
01/09/2025
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