Park, Cara

Park, Cara is an individual health care provider with primary practice located at 5215 Holy Cross Pkwy , Mishawaka IN 46545-1469. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Nursing Service Providers / Neonatal Intensive Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Park, Cara can be contacted via phone (574) 335-4145.

Contact Information

Primary practice address
5215 Holy Cross Pkwy Mishawaka IN 46545-1469
Phone: (574) 335-4145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71011304A Indiana
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 28230650A Indiana

Profile Details

NPI number 1407430408
LBN Legal business name Park, Cara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated May 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407430408 NPPES
Indiana MEDICAID 300052729

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