MEDICARE: MISUN PARK SIM NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	SP013516	PA

General Provider Information

NPI Number	:	1639589047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISUN PARK SIM NP

Provider Business Mailing Address
First Line	:	730 COOL SPRINGS BLVD STE 500
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7331
Country	:	US
Telephone Number	:	773-292-4800
Fax Number	:	312-564-4059

Provider Business Practice Location Address
First Line	:	3000 PARK LANE DRIVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15275-5620
Country	:	US
Telephone Number	:	773-292-4800
Fax Number	:	312-564-4059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2014
Last Update Date	:	05/07/2024

Similar Medicare Providers

1770573883 — DEBORAH A SWIDER M.D.
Practice Location Address:

3000 PARK LANE DRIVE
PITTSBURGH, PA
15275-5620

Practice Phone: 773-292-4800
Practice Fax: 312-564-4059

1285824987 — MRS. ERIN L MOEN CRNP
Practice Location Address:

3000 PARK LANE DRIVE
PITTSBURGH, PA
15275-5620

Practice Phone: 773-292-4800
Practice Fax: 312-564-4059

1811219520 — DENISE SHANK CRNP
Practice Location Address:

3000 PARK LANE DRIVE
PITTSBURGH, PA
15275-5620

Practice Phone: 773-292-4800
Practice Fax: 312-564-4059

1922400852 — EDWARD JELESIEWICZ C.R.N.P.
Practice Location Address:

3000 PARK LANE DRIVE
PITTSBURGH, PA
15275-5620

Practice Phone: 773-292-4800
Practice Fax: 312-564-4059

1275538381 — ANDREW HALL
Practice Location Address:

620 E OHIO ST , SUITE C, SECOND FLOOR
PITTSBURGH, PA
15212-5620

Practice Phone: 412-321-4001
Practice Fax:

1962442178 — CHRISTINE GUY PA
Practice Location Address:

620 E OHIO ST
PITTSBURGH, PA
15212-5620

Practice Phone: 412-321-4001
Practice Fax: 412-321-4063

Directions to “ MISUN PARK SIM NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.