Individual
ANNIE KAY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
100 W 3RD AVE, ELLENSBURG, WA 98926-3354
(509) 388-2345
Mailing address
100 W 3RD AVE, ELLENSBURG, WA 98926-3354
(206) 291-6553
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
RN000150149
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61483923
WA
Other
Enumeration date
06/06/2023
Last updated
10/16/2023
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