Janie Park is a Surgical in Mesa, Arizona. Janie Park practices all healthcare services and medical treatments related to Surgical. The NPI Number for Janie Park is 1003820010. The last update date is 2007-07-08.
Janie Park's current location address is 604 W Medina Ave, Mesa, Arizona. You can contact this provider via phone number 4805452610 and fax number 4805452673. The mailing address for Janie Park is 604 W Medina Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janie Park |
|---|---|
| Address | 604 W Medina Ave, Mesa, Arizona |
| Phone Number | 4805452610 |
| Fax Number | 4805452673 |
| Sole Proprietor | Y |
| Credentials | RNFA |
NPI Number Detail
| NPI Number | 1003820010 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 604 W Medina Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852106848 |
| Phone Number | 4805452610 |
| Fax Number | 4805452673 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | RN 032660 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1Z4903 | AZ | HEALTHNET AZ | |
| AZ0169450 | AZ | BCBS AZ |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Janie Park by the Centers for Medicare & Medicaid Services?
The Janie Park has been assigned the NPI (National Provider Identifier) 1003820010 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Janie Park is geographically located?
The Janie Park is physically situated at the following location: 604 W Medina Ave, Mesa, AZ, 852106848.
What is the Janie Park's area of specialization and corresponding taxonomy classification?
The Janie Park's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
When did Janie Park receive its 1003820010 assignment?
The Janie Park was assigned its 1003820010 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Janie Park most recently updated or refreshed?
The details pertaining to the Janie Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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