Individual
SUSAN S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3366
(602) 933-4166
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
583996
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3469
AZ
363LP0200X
Pediatric Nurse Practitioner
RN159828/AP3469
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471651
—
AZ
Enumeration date
05/30/2007
Last updated
01/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us