Elvin Park, Np in Thousand Oaks - Nurse Practitioner

Elvin Park, Np - NPI 1699946434

Elvin Park, Np is a Nurse Practitioner in Thousand Oaks, California. Elvin Park, Np practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Elvin Park, Np is 1699946434. The last update date is 2009-04-24.

Elvin Park, Np's current location address is 1534 N Moorpark Rd # 327, Thousand Oaks, California. You can contact this provider via phone number 8057011437. The mailing address for Elvin Park, Np is 1534 N Moorpark Rd # 327, Thousand Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elvin Park, Np
Address 1534 N Moorpark Rd # 327, Thousand Oaks, California
Phone Number 8057011437
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Park Elvin
Credentials NP
Telephone Number 8057011437

NPI Number Detail

NPI Number 1699946434
Provider Enumeration Date 2008-03-20
Last Updated Date 2009-04-24

Provider Mailing Address Detail

Address 1534 N Moorpark Rd # 327
City Thousand Oaks
State California (CA)
Post Code 913605129
Phone Number 8057011437
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 11908
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WNP11908B PTAN

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FAQs about Elvin Park, Np

What is the unique 10-digit identifier code assigned to Elvin Park, Np by the Centers for Medicare & Medicaid Services?

The Elvin Park, Np has been issued the NPI (National Provider Identifier) 1699946434 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Elvin Park, Np's facilities are geographically located?

The facilities of Elvin Park, Np are physically situated at the following location: 1534 N Moorpark Rd # 327, Thousand Oaks, CA, 913605129.

What is Elvin Park, Np's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elvin Park, Np's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699946434 to Elvin Park, Np?

The Centers for Medicare & Medicaid Services assigned the 1699946434 to Elvin Park, Np on 2008-03-20.

When was the information pertaining to Elvin Park, Np most recently updated or revised?

The details related to Elvin Park, Np, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-24.

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