Shelley J Park in Redlands - Nurse Practitioner
Shelley J Park - NPI 1386683480
Shelley J Park is a Nurse Practitioner in Redlands, California. Shelley J Park practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shelley J Park is 1386683480. The last update date is 2016-07-19.
Shelley J Park's current location address is 2 W Fern Ave, Redlands, California. You can contact this provider via phone number 9097933311 and fax number 9097964158. The mailing address for Shelley J Park is 2 W Fern Ave, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley J Park |
|---|---|
| Address | 2 W Fern Ave, Redlands, California |
| Phone Number | 9097933311 |
| Fax Number | 9097964158 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1386683480 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2016-07-19 |
Provider Mailing Address Detail
| Address | 2 W Fern Ave |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923735916 |
| Phone Number | 9097933311 |
| Fax Number | 9097964158 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 14554 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ08162Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shelley J Park by the Centers for Medicare & Medicaid Services?
The Shelley J Park has been issued the NPI (National Provider Identifier) 1386683480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shelley J Park's physical address?
The Shelley J Park is physically located at 2 W Fern Ave, in the city of Redlands, CA, with the postal code 923735916.
What is the Shelley J Park's area of specialization and corresponding taxonomy classification?
The Shelley J Park's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
What is Shelley J Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelley J Park is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
As of what date were the details related to Shelley J Park most recently updated or revised?
The information pertaining to Shelley J Park, including its address, specialty, and other relevant details, was last updated or revised on 2016-07-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY