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

Grace Miran Park, FNP

Individual provider Family Nurse Practitioner · NPI 1811363195

Grace Miran Park, FNP is a Nurse Practitioner in Federal Way, Washington. Qualified in 2014, 12 years ago. Practices with Christian Family Care Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
12
Licensed in
CA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

33507 9th Ave S Ste A
Federal Way, WA 98003-6397
Phone: (253) 874-5404
Fax: (253) 874-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8511 South Tacoma Way #200, Tacoma, WA 98499-9840 — (253) 588-4015

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60616120 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95002165 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP60616120 (WA)

Record details

NPI number1811363195
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESApril 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Christian Family Care Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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