MEDICARE: NATALIE PARK FNP-C

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	363L00000X	Nurse Practitioner	14267489-4405	UT

General Provider Information

NPI Number	:	1720938905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE PARK FNP-C

Provider Business Mailing Address
First Line	:	847 N 800 E
Second Line	:
City	:	NEPHI
State	:	UT
Zip	:	84648-1309
Country	:	US
Telephone Number	:	435-660-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1973 N STATE ST
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-1012
Country	:	US
Telephone Number	:	801-373-2499
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

Similar Medicare Providers

1831057520 — PEAK BALANCE MENTAL HEALTH AND WELLNESS
Practice Location Address:

1973 N STATE ST
PROVO, UT
84604-1012

Practice Phone: 801-769-6284
Practice Fax:

1588664759 — DR. JARED T CLEGG DPM
Practice Location Address:

1973 NORTH STATE STREET
PROVO, UT
84604-1012

Practice Phone: 801-373-2499
Practice Fax: 801-373-5200

1245356922 — AARON M. ROBINSON D.O.
Practice Location Address:

1959 N STATE ST
PROVO, UT
84604-1012

Practice Phone: 801-373-2001
Practice Fax: 801-373-4748

1881881993 — HEATHER HARRISON, D.O., PLLC
Practice Location Address:

1959 N STATE ST
PROVO, UT
84604-1012

Practice Phone: 801-373-2001
Practice Fax: 801-373-4748

1205023314 — AARON ROBINSON D.O. PLLC
Practice Location Address:

1959 N STATE ST
PROVO, UT
84604-1012

Practice Phone: 801-373-2001
Practice Fax:

1033554324 — SETH JONAH BRAZIER
Practice Location Address:

1973 N STATE ST
PROVO, UT
84604-1012

Practice Phone: 801-373-2499
Practice Fax: 801-373-5200

Directions to “ NATALIE PARK FNP-C” 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.