IndividualActive
Siobhan Park, PA-C
NPI 1295088086 · Physician Assistant · Wilmington, DE
Provider details
- NPI number
- 1295088086
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C50000840 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone: (302) 651-5345
Fax: (302) 651-4945
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 191
Rockland, DE 19732-0191
Registry dates
- Enumerated
- 2012-10-18
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.