Individual
ANGELA MARIE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
25700 SCIENCE PARK DR STE 210, BEACHWOOD, OH 44122-7328
(216) 450-1613
(216) 450-1614
Mailing address
29055 CLEMENS RD STE A, WESTLAKE, OH 44145-1135
(216) 450-1614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022853
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.022853
OH
Other
Enumeration date
06/06/2018
Last updated
11/25/2020
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