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

Janie Park, RNFA

Individual provider Surgical Physician Assistant · NPI 1003820010

Janie Park, RNFA is a Surgical Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006

Practice location Address checks out

604 W Medina Ave
Mesa, AZ 85210-6848
Phone: (480) 545-2610
Fax: (480) 545-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence RN 032660 (AZ)

Record details

NPI number1003820010
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNFA
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address604 W Medina Ave, Mesa, AZ 85210-6848

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