Individual provider · Type 1 NPI
Rustin Jin Park, RN, BSN
Psychiatric/Mental Health Registered Nurse · Las Vegas, NV
NPI number
1003112814
Active
Practice location
4000 E Charleston Blvd, Suite 130
Las Vegas, NV 89104-6659
Fax (702) 968-4040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN65754 (NV) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1003112814
Rustin Jin Park, RN, BSN's National Provider Identifier is 1003112814, issued on Jan 27, 2011. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 27, 2011.