PAULA A. PARK FNP, MSN, BSN, RN – NPI #1801494398
Nurse Practitioner

PAULA PARK is a nurse practitioner located in LAKE FOREST, CA. NPPES has assigned the NPI number 1801494398 to PAULA PARK on October 15, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAULA PARK below.

NPI Profile for
PAULA A. PARK

NPI Number
1801494398
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PAULA A. PARK
Credentials
FNP, MSN, BSN, RN
Primary location
29300 PORTOLA PKWY STE B
LAKE FOREST, CA 92630-8741
Phone: (714) 773-2141 Fax:
Mailing address
12270 HAVEN CIR
RIVERSIDE, CA 92503-5982
Phone: (714) 773-2141 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
CA 95012155

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.