Peter S. Park, FNP
Nurse Practitioner · Grandview, WA
Practice location
1003 Wallace WayGrandview, WA 98930-8805
- Phone
- (509) 786-2222
NPI record
- NPI
- 1154937241
- Entity type
- Individual (Type 1)
- Enumeration date
- September 23, 2020
- Last updated
- June 2, 2021
- Certified
- June 2, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
AP61125867 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Peter Park
Peter S. Park, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1003 Wallace Way, Grandview, WA 98930-8805. The NPI number 1154937241 was assigned on September 23, 2020 and the record was last updated on June 2, 2021.
Peter Park lists a license in the registry: #AP61125867 (WA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Peter S. Park, FNP?
The NPI number is 1154937241.
What is the phone number of Peter Park?
The phone number listed for the practice location is (509) 786-2222.
Where is Peter Park located?
1003 Wallace Way, Grandview, WA 98930-8805.
What is the taxonomy code for Peter Park?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Nurse Practitioner providers in Grandview
- River Valley Health LLC2001 W 5TH St
- Phoebe Dang Lim-Vuong, DNP, FNP-BC1000 Wallace Way