Individual
CARRIE LYNN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, WCC
Contact information
Practice address
601 WESTPARK WAY STE 200, EULESS, TX 76040-3972
(817) 921-1886
(817) 768-6424
Mailing address
557 BIG BEND DR, KELLER, TX 76248-2525
(817) 201-3424
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
867158
TX
363LF0000X
Family Nurse Practitioner
Primary
1012559
TX
Other
Enumeration date
12/01/2020
Last updated
07/24/2025
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