Park, Yeounkyoung

Park, Yeounkyoung is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Park, Yeounkyoung can be contacted via phone (907) 212-3614.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 1217 Alaska

Profile Details

NPI number 1750679569
LBN Legal business name Park, Yeounkyoung
Credentials RN, ANP, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Jan 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750679569 NPPES
Alaska MEDICAID NP0233

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