Elizabeth A Park in Vonore - Nurse Practitioner

Elizabeth A Park - NPI 1447255096

Elizabeth A Park is a Nurse Practitioner in Vonore, Tennessee. Elizabeth A Park practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Elizabeth A Park is 1447255096. The last update date is 2010-07-09.

Elizabeth A Park's current location address is 1206 Highway 411, Vonore, Tennessee. You can contact this provider via phone number 4234422622 and fax number 4234425760. The mailing address for Elizabeth A Park is 1206 Highway 411, Vonore, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth A Park
Address 1206 Highway 411, Vonore, Tennessee
Phone Number 4234422622
Fax Number 4234425760
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1447255096
Provider Enumeration Date 2005-06-19
Last Updated Date 2010-07-09

Provider Mailing Address Detail

Address 1206 Highway 411
City Vonore
State Tennessee (TN)
Post Code 3788524550
Phone Number 4234422622
Fax Number 4234425760

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 6439
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
3901053 TN --
3901052 TN --
1506981 TN --

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FAQs about Elizabeth A Park

What is the Elizabeth A Park's unique identification number?

The Elizabeth A Park has been assigned the NPI (National Provider Identifier) Number 1447255096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Elizabeth A Park's facilities are situated?

The facilities of Elizabeth A Park are physically located at the following address: 1206 Highway 411, Vonore, TN, 3788524550.

What is Elizabeth A Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Elizabeth A Park is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

On what date was the 1447255096 assigned to Elizabeth A Park?

The Elizabeth A Park was issued its 1447255096 on 2005-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Elizabeth A Park most recently updated or revised?

The information pertaining to Elizabeth A Park, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-09.

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