| Ji Hye Park, FNP | |
|
1 Medical Plaza Dr, Roseville, CA 95661-3037 | |
| (916) 781-5000 | |
| (916) 781-5055 |
| Full Name | Ji Hye Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Medical Plaza Dr, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063477016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15502 (California) | Primary |
| Entity Name | Sutter Valley Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390264 PECOS PAC ID: 3375531635 Enrollment ID: O20201113002631 |
| Mailing Address | Practice Location Address |
|---|---|
| Ji Hye Park, FNP 1 Medical Plaza Dr, Roseville, CA 95661-3037 Ph: (323) 580-1382 | Ji Hye Park, FNP 1 Medical Plaza Dr, Roseville, CA 95661-3037 Ph: (916) 781-5000 |
Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650 | |
Marsha J Montbriand, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414 | |
Mrs. Pantea Nosrat Dunn, MSN PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1528 Eureka Rd, Suite 102, Roseville, CA 95661 Phone: 916-736-6644 Fax: 916-774-0143 | |
Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003 | |
Mrs. Marly R Stubbs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 945 Roseville Pkwy, Suite 150, Roseville, CA 95678 Phone: 916-788-8444 Fax: 916-788-8449 | |
Catherine E Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414 | |
Kimberly S. Newlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1670 Fax: 916-781-1604 |