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

Susan S Park, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1548461221

Susan S Park, PNP is a Pediatric Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona and New York. Registered with an NPI since 2007.

Licensed in
AZ, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-3366
Fax: (602) 933-4166
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP3469 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 583996 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN159828/AP3469 (AZ)

Record details

NPI number1548461221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJanuary 24, 2018

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