NATHANIA LOUISE PARK FNP-BC NPI 1790188555

NPI Information

NPI: 1790188555
Provider Name: NATHANIA LOUISE PARK, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD

PECOS Registration: Yes

Address:
821 N NELLIS BLVD STE 100
LAS VEGAS, NV
ZIP 89110
Phone: (702) 438-4003
Get Directions

Nathania Louise Park, FNP-BC is a family nurse practitioner in Las Vegas, NV with 10 years of experience. Nathania Louise Park, FNP-BC NPI is 1790188555. 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:

821 N NELLIS BLVD STE 100
LAS VEGAS, NV
ZIP 89110-387
Phone: (702) 438-4003
Fax: (702) 438-0555

The NPI 1790188555 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 10/7/2014 and was last updated on 2/7/2019.

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	363LF0000X	Nurse Practitioner	Family	APRN001734	NEVADA	Yes
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APRN001734	NEVADA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790188555	MEDICAID	NEVADA
2	APRN001734	OTHER	NEVADA	STATE LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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