Individual provider · Type 1 NPI
Eun Kyung Park, GNP
Gerontology Nurse Practitioner · Burbank, CA
NPI number
1194226936
Active
Practice location
209 W Alameda Ave Ste 101
Burbank, CA 91502-3023
Mailing address
320 S Ardmore Ave Apt 234
Los Angeles, CA 90020-3162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95007780 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1194226936
Eun Kyung Park, GNP's National Provider Identifier is 1194226936, issued on Feb 27, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Burbank, CA. The record was last updated on Jun 16, 2018.