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

Mie Hea Park

Individual provider Primary Care Nurse Practitioner · NPI 1902294598

Mie Hea Park is a Primary Care Nurse Practitioner in Englewood, New Jersey. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2015.

Licensed in
NJ, PA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

475 Grand Ave 2nd Fl
Englewood, NJ 07631-4965
Phone: (201) 541-1111
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP019778 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 26NJ00544400 (NJ)

Record details

NPI number1902294598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2015
Last updated in NPPESFebruary 8, 2019

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