Individual
RACHAEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
200 SWINEBURNE STREET, RALEIGH, NC 27610
(919) 250-1120
(919) 743-7384
Mailing address
200 SWINEBURNE STREET, RALEIGH, NC 27610
(919) 250-1120
(919) 743-7384
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5014945
NC
Other
Enumeration date
08/27/2021
Last updated
02/20/2026
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