SUAH PARK NPI 1316563091

NPI Information

NPI: 1316563091
Provider Name: SUAH PARK
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8725 S TACOMA WAY
LAKEWOOD, WA
ZIP 98499
Phone: (253) 535-5552
Get Directions

Suah Park is a family nurse practitioner in Lakewood, WA. Suah Park NPI is 1316563091. 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:

8725 S TACOMA WAY
LAKEWOOD, WA
ZIP 98499-544
Phone: (253) 535-5552

The NPI 1316563091 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 6/18/2020 and was last updated on 1/18/2021.

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	163WM0705X	Registered Nurse	Medical-Surgical	0001286995	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024179524	VIRGINIA	No
3	363LF0000X	Nurse Practitioner	Family	AP61084806	WASHINGTON	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: 5/5/2024

NPI Synchronization or Removal

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