Individual
THERESA HYEJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7783
(410) 230-7834
Mailing address
2726 GALLOWS RD APT 1112, VIENNA, VA 22180-7152
(443) 800-5613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024180094
VA
363LF0000X
Family Nurse Practitioner
Primary
RN1031488
DC
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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