Park, Nicole Luanne

Park, Nicole Luanne is an individual health care provider with primary practice located at 795 El Camino Real Clark Building, Level 3, Palo Alto CA 94301-2302. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Park, Nicole Luanne can be contacted via phone (650) 321-4121.

Contact Information

Primary practice address
795 El Camino Real Clark Building, Level 3 Palo Alto CA 94301-2302
Phone: (650) 321-4121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 707298 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 22103 California

Profile Details

NPI number 1467708198
LBN Legal business name Park, Nicole Luanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated Oct 12th, 2016 - about 8 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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