Individual
MS. CYNTHIA ANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
6925 HIGHWAY 74, ST. GABRIEL, LA 70776
(225) 319-4508
(225) 319-4595
Mailing address
6925 HWY 74, ST GABRIEL, LA 70776
(225) 319-4508
(225) 319-4595
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
AP05157
LA
364SA2200X
Adult Health Clinical Nurse Specialist
AP05157
LA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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