Individual
ADRIANA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN
Contact information
Practice address
5520 MANSE RD, PAHRUMP, NV 89061-7005
(559) 623-6057
Mailing address
5520 MANSE RD, PAHRUMP, NV 89061-7005
(559) 623-6057
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
651409
CA
163WC0400X
Case Management Registered Nurse
Primary
838308
NV
163WL0100X
Lactation Consultant (Registered Nurse)
L-84670
CA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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