MIE HEA PARK
NPI 1902294598
Nurse Practitioner in Englewood, NJ

Q: What is Mie Hea Park's NPI number?

The NPI number for Mie Hea Park is 1902294598. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Q: What is Mie Hea Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mie Hea Park was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 05, 2015

475 GRAND AVE, 2ND FLOOR, ENGLEWOOD, NJ 07631(201) 541-1111 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mie Hea Park NPPES

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

MIE HEA PARK (NPI 1902294598) is an individual nurse practitioner in Englewood, New Jersey, licensed in Pennsylvania (SP019778) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1902294598

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIE HEA PARK

Location Address475 GRAND AVE, 2ND FLOOREnglewood, NJ 07631-4965

Mailing Address2290 Galloway Rd Apt B9Bensalem, PA 19020-2956

Phone(201) 541-1111

Sole ProprietorNo

Enumeration DateJanuary 5, 2015

Last NPPES UpdateFebruary 8, 2019

✔ NPI 1902294598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP019778

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00544400 (NJ)

475 GRAND AVE, Englewood, NJ 07631

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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