Betsey Park, PA-C
Physician Assistant · New Haven, CT
UnclaimedPA-CNPI 1114903101
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2005-12-21
- Practice location
- New Haven, CT
- Last NPPES update
- 2017-11-03
State licenses
- CT · Physician assistant · NPPES self-reportedListed on NPI record
- CT · Physician assistant · Physician AssistantExpiredthrough 2020
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.