Park, Nathania Louise

Park, Nathania Louise is an individual health care provider with primary practice located at 821 N Nellis Blvd Ste 100 , Las Vegas NV 89110-5387. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Nathania Louise can be contacted via phone (702) 438-4003.

Contact Information

Primary practice address
821 N Nellis Blvd Ste 100 Las Vegas NV 89110-5387
Phone: (702) 438-4003
Fax: (702) 438-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN001734 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN001734 Nevada

Profile Details

NPI number 1790188555
LBN Legal business name Park, Nathania Louise
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Oct 19th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790188555 NPPES
Nevada MEDICAID 1790188555
Nevada Other APRN001734

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