Peter S. Park, FNP
Nurse Practitioner · Grandview, WA
UnclaimedFNPNPI 1154937241
- Primary taxonomy
- 363L00000X
- Enumerated
- 2020-09-23
- Practice location
- Grandview, WA
- Last NPPES update
- 2021-06-02
State licenses
- WA · Nurse practitioner · NPPES self-reportedListed on NPI record
- WA · Nurse practitioner · Advanced Registered Nurse Practitioner LicenseActivethrough 2027
“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.