NPI 1043633084

Nanyoung Park, ANPBC

Practitioner Adult Health Clinical Nurse Specialist Duluth, GA

Practice location

Address: 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817
Phone: (770) 614-9799
Fax: (770) 614-9789

Registered specialties

Adult Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2200X Licence RN190483 (GA)

Other Clinical Nurse Specialist providers in Georgia →

Registry record

NPI: 1043633084
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2014
Record last updated: 28 Jan 2014

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.