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

Nathan Park, BA

Individual provider Case Manager/Care Coordinator · NPI 1528779741

Nathan Park, BA is a Case Manager/Care Coordinator in Fairmont, West Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

14 E Grafton Rd Ste C
Fairmont, WV 26554-4465
Phone: (304) 366-5832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1528779741
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address14 E Grafton Rd Ste C, Fairmont, WV 26554-4465

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