CECILIA PARK FNP NPI 1992041859

NPI Information

  • NPI: 1992041859
  • Provider Name: CECILIA PARK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3636 SATELLITE BLVD
    #4A
    DULUTH, GA
    ZIP 30096
  • Phone: (470) 336-9635

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NPI Details

Cecilia Park, FNP is a family nurse practitioner in Duluth, GA. Cecilia Park, FNP NPI is 1992041859. 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:

3636 SATELLITE BLVD
#4A
DULUTH, GA
ZIP 30096-590
Phone: (470) 336-9635

The NPI 1992041859 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 12/21/2012 and was last updated on 2/13/2017.

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
1111N00000XChiropractorCHIR008961GEORGIANo
2363LF0000XNurse PractitionerFamilyRN240365GEORGIAYes

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: 11/21/2025

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