Individual
RACHAEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 935-2401
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2386
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704319927
MI
363LF0000X
Family Nurse Practitioner
Primary
4704319927
MI
Other
Enumeration date
06/20/2023
Last updated
04/08/2025
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