| Wonhee Park, CRNP | |
|
261 Avon Rd Apt I 463, Devon, PA 19333-2329 | |
| (484) 919-5199 | |
| Not Available |
| Full Name | Wonhee Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 261 Avon Rd Apt I 463, Devon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144960360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025534 (Pennsylvania) | Primary |
| Entity Name | Supportive Care Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 |
| Entity Name | Compass Health Systems Of Pennsylvania |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902424666 PECOS PAC ID: 2466871470 Enrollment ID: O20200924001270 |
| Entity Name | Avenues Recovery Medical Center At Valley Forge |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1326622069 PECOS PAC ID: 3678972130 Enrollment ID: O20210603000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Wonhee Park, CRNP 261 Avon Rd Apt I 463, Devon, PA 19333-2329 Ph: (484) 919-5199 | Wonhee Park, CRNP 261 Avon Rd Apt I 463, Devon, PA 19333-2329 Ph: (484) 919-5199 |
Theresa Christina Disipio, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E Lancaster Ave, Devon, PA 19333 Phone: 610-999-6414 | |
Dorota Ketch, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-999-6141 | |
Jayavantika Rohan Mirchandani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 W Lancaster Ave, Devon, PA 19333 Phone: 484-551-3366 | |
Mr. Kevin William Keane, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-999-6414 | |
Therese Narzikul, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Millbrook Rd, Devon, PA 19333 Phone: 610-687-5117 | |
Andrea Quinter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 W Lancaster Ave, Devon, PA 19333 Phone: 484-654-9900 |