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
Phone: (907) 212-3614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750679569 | NPPES |
| Alaska | MEDICAID | NP0233 |
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