Individual
CHRISTINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(651) 220-6789
(651) 220-6807
Mailing address
2910 CENTRE POINTE DR, 35-121A, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R134132-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345804100
—
MN
Enumeration date
07/21/2005
Last updated
11/30/2007
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