NANYOUNG PARK ANP-BC NPI 1043633084

NPI Information

NPI: 1043633084
Provider Name: NANYOUNG PARK, ANP-BC
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
ZIP 30096
Phone: (770) 614-9799
Get Directions

Nanyoung Park, ANP-BC is an adult health clinical nurse specialist in Duluth, GA with 13 years of experience. Nanyoung Park, ANP-BC NPI is 1043633084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
ZIP 30096-817
Phone: (770) 614-9799
Fax: (770) 614-9789

The NPI 1043633084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/28/2014 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	RN190483	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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