IndividualActive
Anne Park, FNP
NPI 1417650896 · Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1417650896
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 817289 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11401 Robbia Dr
Las Vegas, NV 89138-1507
Phone: (818) 336-2192
Approximate (ZIP-level) locationGet directions
Mailing address
11401 Robbia Dr
Las Vegas, NV 89138-1507
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.