Individual provider · Type 1 NPI

Dongho Park, N.P.

Nurse Practitioner · Urbana, IL

NPI number 1215088240 Active

Practice location

602 W University Ave
Urbana, IL 61801-2530

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215088240

Dongho Park, N.P.'s National Provider Identifier is 1215088240, issued on Jan 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Jul 8, 2007.