NPI 1003112814
Rustin Jin Park, RNBSN
Practice location
- Address
- 4000 E Charleston Blvd Suite 130, Las Vegas, NV 89104-6659
- Phone
- (702) 968-4020
- Fax
- (702) 968-4040
Registered specialties
Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1003112814
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jan 2011
- Record last updated
- 27 Jan 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.