Ivan Young Park, APRN is an acute care nurse practitioner in Austin, TX with 3 years of experience. Ivan Young Park, APRN NPI is 1154076099. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2021
The provider's business location address is:
1208 W 38TH ST
AUSTIN, TX
ZIP 78705-006
Phone: (512) 324-1000
The NPI 1154076099 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 2/18/2022 and was last updated on 3/17/2022.