Individual
PAMELA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
451 FRANKLIN ST, WRENTHAM, MA 02093-1237
(774) 571-5034
Mailing address
451 FRANKLIN ST, WRENTHAM, MA 02093-1237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
267581
MA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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