National Provider Identifier

Nicole Park, RN

Nicole Park, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 536-6977.

NPI 1447027313Rochester, NYRegistered Nurse

Profile Overview

NPI
1447027313
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
December 11, 2023
Last Updated
December 11, 2023

Practice Location

  • 150 Mount Hope Ave
  • Rochester, NY 14620-1016

Phone: (585) 536-6977

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1447027313
Entity Type
Individual
Last Name
Park
First Name
Nicole
Credential
RN
Mailing Street Address
150 Mount Hope Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1016
Mailing Country
US
Mailing Phone
(585) 536-6977
Practice Street Address
150 Mount Hope Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1016
Practice Country
US
Practice Phone
(585) 536-6977
Enumeration Date
December 11, 2023
Last Updated
December 11, 2023
Sex
Female
Sole Proprietor
No
Certification Date
December 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)