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JANIE PARK RNFA
NPI 1003820010
Physician Assistant - Surgical in Mesa, AZ

Active since July 27, 2006
604 W MEDINA AVE, MESA, AZ 85210(480) 545-2610(480) 545-2673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janie Park Rnfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANIE PARK RNFA (NPI 1003820010) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (RN 032660) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003820010
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJANIE PARKCredential: RNFA
Location Address604 W MEDINA AVEMesa, AZ 85210-6848
Mailing Address604 W Medina AveMesa, AZ 85210-6848 · (480) 545-2610 · Fax (480) 545-2673
Phone(480) 545-2610
Fax(480) 545-2673
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003820010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · RN 032660
604 W MEDINA AVE, Mesa, AZ 85210
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Other Identifiers 2

OtherAZ0169450AZ · Bcbs Az
Other1Z4903AZ · Healthnet Az

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janie Park's NPI number?

The NPI number for Janie Park is 1003820010. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Janie Park located?

Janie Park practices at 604 W Medina Ave, Mesa, AZ 85210. The listed phone number is (480) 545-2610.

What is Janie Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Janie Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.