Ilsook Park Dahlin, FNP is a
Nurse Practitioner - Family based in Coarsegold, California. Ilsook Park Dahlin is licensed to practice in California (license number 95031582) and her current practice location is
35463 Highway 41, Coarsegold, California. She can be reached at her office (for appointments etc.) via phone at
(559) 683-6292.
NPI number for Ilsook Park Dahlin is 1528899622 and her current mailing address is Po Box 970, Coarsegold, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528899622.
Provider's Profile
Full Name | Ilsook Park Dahlin |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 35463 Highway 41, Coarsegold, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528899622
- Provider Enumeration Date: 08/10/2024
- Last Update Date: 08/10/2024
Medical Identifiers
Medical identifiers for Ilsook Park Dahlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528899622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95031582 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ilsook Park Dahlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ilsook Park Dahlin, FNP Po Box 970, Coarsegold, CA 93614-0970 Ph: (559) 246-8014 | Ilsook Park Dahlin, FNP 35463 Highway 41, Coarsegold, CA 93614-8722 Ph: (559) 683-6292 |
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