Individual
ANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11401 ROBBIA DR, LAS VEGAS, NV 89138-1507
(818) 336-2192
Mailing address
11401 ROBBIA DR, LAS VEGAS, NV 89138-1507
(818) 336-2192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
817289
NV
Other
Enumeration date
03/23/2023
Last updated
03/28/2023
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