IndividualActive
Cleopatra Park, N.P.
NPI 1194839852 · Pediatric Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1194839852
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 076714 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3864 N 27th Ave
Phoenix, AZ 85017-4703
Phone: (602) 685-6000
Fax: (602) 212-6250
Approximate (ZIP-level) locationGet directions
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.