ELLIE PARK

Registered Nurse

Active Individual
NPI: 1639711880

Practice Address

16450 VETERANS WAY UNIT 203
Tustin, CA 92782

Phone: (917) 532-0537

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 615921 (NY)

Frequently Asked Questions

NPI 1639711880 is the National Provider Identifier for ELLIE PARK, a Registered Nurse provider located in Tustin, CA. This NPI was enumerated on October 9, 2019.
ELLIE PARK practices at 16450 VETERANS WAY UNIT 203, Tustin, CA 92782.

Quick Facts

NPI
1639711880
Type
Individual
Enumerated
Oct 9, 2019
Last Updated
Sep 3, 2025

Nearby Providers