Park, Grace Miran

Park, Grace Miran is an individual health care provider with primary practice located at 33507 9Th Ave S Ste A , Federal Way WA 98003-6397. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Grace Miran can be contacted via phone (253) 874-5404.

Contact Information

Primary practice address
33507 9Th Ave S Ste A Federal Way WA 98003-6397
Phone: (253) 874-5404
Fax: (253) 874-8964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95002165 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP60616120 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60616120 Washington

Profile Details

NPI number 1811363195
LBN Legal business name Park, Grace Miran
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2015
Last updated Apr 17th, 2018 - about 7 years ago

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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