Individual
ANDREA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
982161 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2161
(402) 559-5380
Mailing address
982161 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2161
(402) 559-5380
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
36064
NE
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2019
Last updated
12/20/2023
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