IndividualActive
Theresa Park, RN, NP
NPI 1255598447 · Community Health/Public Health Clinical Nurse Specialist · Santa Maria, CA
Provider details
- NPI number
- 1255598447
- Entity type
- Individual
- Primary specialty
- Community Health/Public Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17824 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
415 E Chapel St
Santa Maria, CA 93454-4517
Phone: (805) 928-5573
Approximate (ZIP-level) locationGet directions
Mailing address
315 Castaic Ave
Shell Beach, CA 93449-1912
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2008-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.