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

Innah Park, NP

Individual provider Nurse Practitioner · NPI 1972874196

Innah Park, NP is a Nurse Practitioner in Ann Arbor, Michigan. Qualified in 2011, 15 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 East Medical Center Drive, Ann Arbor, MI 48109-5317 — (734) 232-2867

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704274574 (MI)

Record details

NPI number1972874196
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 19, 2012
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ann Arbor