Search › California › 363LA2200X
Nicole Park, N.P
NPI 1467708198 · on the registry since 2012
Practice
- Address
- 795 El Camino Real
Clark Building, Level 3
Palo Alto, CA 94301 - Phone
- (650) 321-4121
- Organisation at this address
- Walgreen Co
Palo Alto Medical Foundation
Palo Alto Medical Foundation
Sutter Bay Medical Foundation
Sutter Bay Medical FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 721
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California