NPI 1174981229

Kristen Park

Practitioner Advanced Practice Midwife Berkeley, CA

Practice location

Address: 2404 Dana St APT B, Berkeley, CA 94704-2574
Phone: (408) 636-8431
Mailing address: 1100 Veterans Blvd, Redwood City, CA 94063-2037

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 236164 (CA)

Other Advanced Practice Midwife providers in California →

Registry record

NPI: 1174981229
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2016
Record last updated: 8 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.