IndividualActive
Nanyoung Park, ANP-BC
NPI 1043633084 · Adult Health Clinical Nurse Specialist · Duluth, GA
Provider details
- NPI number
- 1043633084
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN190483 (GA)
Practice location
3590 Peachtree Industrial Blvd
Duluth, GA 30096-4817
Phone: (770) 614-9799
Fax: (770) 614-9789
Mailing address
3590 Peachtree Industrial Blvd
Duluth, GA 30096-4817
Registry dates
- Enumerated
- 2014-01-28
- Last updated
- 2014-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.