Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Soo Park, NP

Individual provider Registered Nurse · NPI 1851693055

Alice Soo Park, NP is a Registered Nurse in Philadelphia, Pennsylvania. Licensed in New Jersey, New York and Pennsylvania. Registered with an NPI since 2010.

Licensed in
NJ, NY, PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP012125 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 567761 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR14281300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN635789 (PA)

Record details

NPI number1851693055
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 22, 2010
Last updated in NPPESFebruary 20, 2013

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