Lisa Marie Park, FNP-BC
Lisa Marie Park, FNP-BC is a Nurse Practitioner in Triadelphia, West Virginia. Qualified in 2023, 3 years ago. Practices with Wmc Physician Practices LLC, a 111-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 3
- Licensed in
- WV
- In the registry since
- 2023
What do these letters mean?
- FNP-BC — Family Nurse Practitioner, Board Certified
- A family nurse practitioner certified by the ANCC.
Practice location Address checks out
4509 National RdTriadelphia, WV 26059-2013
Phone: (304) 639-0873
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 117804 (WV) |
|---|
Record details
| NPI number | 1639944382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2023 |
| Last updated in NPPES | November 21, 2023 |
| Certification date | October 25, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Wmc Physician Practices Llc — 111 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |