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Mallory Lynn Park, MSN, CRNP, FNP-C

General Practice Physician in Ridgway, PA · enumerated 2024.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114755345

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Registry record

Entity type Individual (Type 1)
Name Mallory Lynn Park
Credential MSN, CRNP, FNP-C
Sex Female
Practice address 250 W Main St, Ridgway, PA, 15853
Phone (814) 772-8122
Enumeration date Jul 22, 2024
Last updated in NPPES Jul 22, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License SP030067 (PA) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License SP030067 (PA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mallory Park practice?
The practice location on file with NPPES is in Ridgway, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mallory Park?
The National Provider Identifier (NPI) for Mallory Park is 1114755345, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-22.