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

Grace Park, ARNP

Individual provider Family Nurse Practitioner · NPI 1417338872

Grace Park, ARNP is a Nurse Practitioner in Lacey, Washington. Qualified in 2021, 5 years ago. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2015
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

4800 College St SE
Lacey, WA 98503-4389
Phone: (360) 493-4500
Fax: (360) 412-6510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61681712 (WA)

Record details

NPI number1417338872
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address4800 College St Se, Lacey, WA 98503-4389

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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