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

Janie Park, RNFA

Individual provider Surgical Physician Assistant · NPI 1003820010

Janie Park, RNFA is a Surgical Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006

Practice location Address checks out

604 W Medina Ave
Mesa, AZ 85210-6848
Phone: (480) 545-2610
Fax: (480) 545-2673
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence RN 032660 (AZ)

Record details

NPI number1003820010
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNFA
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Mesa