Individual
SARAH ANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FAMILY
Contact information
Practice address
610 SOLAREX CT, FREDERICK, MD 21703-8624
(301) 682-5500
(301) 663-8557
Mailing address
6708 ACCIPITER DR, NEW MARKET, MD 21774-2933
(240) 629-8065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R168207
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580505
—
MD
Enumeration date
05/12/2016
Last updated
08/02/2016
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