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

Judy D Park, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1770575953

Judy D Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Wichita, Kansas. Qualified in 1975, 51 years ago. Licensed in Kansas.

Years since qualifying
51
Licensed in
KS
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

550 N Hillside St
Wichita, KS 67214-4910
Phone: (316) 962-3030
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 54194 (KS)

Record details

NPI number1770575953
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Not indicated

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