Lisa M Park, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Leawood, KS

NPI

1881950533

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

53-75279-101 (KS)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-04-06

Last updated

2012-04-06