Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathania Louise Park, FNP-BC

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1790188555

Nathania Louise Park, FNP-BC is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

821 N Nellis Blvd Ste 100
Las Vegas, NV 89110-5387
Phone: (702) 438-4003
Fax: (702) 438-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001734 (NV)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence APRN001734 (NV)

Record details

NPI number1790188555
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 7, 2014
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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