| Grace Park, ARNP | |
|
4800 College St Se, Lacey, WA 98503-4389 | |
| (360) 493-4500 | |
| (360) 412-6510 |
| Full Name | Grace Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4800 College St Se, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417338872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61681712 (Washington) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Park, ARNP 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 493-4500 | Grace Park, ARNP 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 493-4500 |
Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509 | |
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 | |
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200 | |
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225 | |
Amanda Lee Hatt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 | |
Mrs. Audry Marie Torres, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225 |