DR. GLORIA PARK APRN/RN NPI 1336770205

NPI Information

NPI: 1336770205
Provider Name: DR. GLORIA PARK, APRN/RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
609 LIBERTY ST
CLAY CENTER, KS
ZIP 67432
Phone: (785) 632-2181
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DR. Gloria Park, APRN/RN is a psychiatric/mental health nurse practitioner in Clay Center, KS with 5 years of experience. DR. Gloria Park, APRN/RN NPI is 1336770205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

609 LIBERTY ST
CLAY CENTER, KS
ZIP 67432-564
Phone: (785) 632-2181

The NPI 1336770205 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 1/30/2020 and was last updated on 3/18/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		116035	KANSAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	79172	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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