THERESA HYEJIN PARK FNP-BC NPI 1285219147

NPI Information

Theresa Hyejin Park, FNP-BC is a family nurse practitioner in Washington, DC with 4 years of experience. Theresa Hyejin Park, FNP-BC NPI is 1285219147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

110 IRVING ST NW
WASHINGTON, DC
ZIP 20010-017
Phone: (202) 877-7783
Fax: (410) 230-7834

The NPI 1285219147 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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