Shelley J Park is a Redlands, California based nurse practitioner with 19 years of experience in . She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shelley J Park is 14554 in California. Her current practice location is 2 W Fern Ave, Redlands. Patients can reach her at 909-793-3311 or can fax her at 909-796-4158. Shelley J Park is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1386683480. Shelley J Park has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Shelley J Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7810928181
Enrollment ID:
I20050825001070
NPI Number:
1386683480
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
19 Jul, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelley J Park are as mentioned below.
License Number
Specialization
State
Status
14554
California
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shelley J Park is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Beaver Medical Group Pc (0547164295)
250
Other Medical Identifiers:
Other legacy medical identifiers associated with Shelley J Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZZZ08162Z
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shelley J Park Po Box 10069, San Bernardino, California
Zip:
92423-0069
Phone Number:
909-335-4188
Fax Number:
909-796-4158
Patients can reach Shelley J Park at 2 W Fern Ave, Redlands, California or can call to book an appointment on 909-793-3311.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.