Individual provider · Type 1 NPI
Yun Young Bae Park, AGPCNP-BC
Primary Care Nurse Practitioner · Boston, MA
NPI number
1093196172
Active
Practice location
330 Brookline Ave, Yamins 203
Boston, MA 02215-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2015001894 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1093196172
Yun Young Bae Park, AGPCNP-BC's National Provider Identifier is 1093196172, issued on Jun 15, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boston, MA. The record was last updated on Feb 4, 2026.