Individual
MITCHELL J PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP, FNP-BC
Contact information
Practice address
1350 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 735-2014
Mailing address
1350 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 735-2014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60464733
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61167472
WA
Other
Enumeration date
02/12/2020
Last updated
04/27/2023
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