REGINA MIYOUNG PARK AGACNP-BC NPI 1093170318

NPI Information

NPI: 1093170318
Provider Name: REGINA MIYOUNG PARK, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
7675 WELLNESS WAY
WEST CHESTER, OH
ZIP 45069
Phone: (513) 475-8500
Get Directions

Regina Miyoung Park, AGACNP-BC is an acute care nurse practitioner in West Chester, OH. Regina Miyoung Park, AGACNP-BC NPI is 1093170318. 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:

7675 WELLNESS WAY
WEST CHESTER, OH
ZIP 45069-509
Phone: (513) 475-8500
Fax: (513) 475-7858

The NPI 1093170318 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 12/31/2015 and was last updated on 3/3/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	APRN.CNP.022288	OHIO	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	20813	TENNESSEE	No
3	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.022288	OHIO	No

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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