Individual
LOUISE M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
550 16TH AVE STE 402, SEATTLE, WA 98122-5636
(206) 861-8550
(206) 861-8551
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 861-8550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9640079
—
WA
Enumeration date
10/23/2006
Last updated
02/17/2009
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