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Ivan Young Park, APRN
Acute Care Nurse Practitioner in Austin, Texas
NPI 1154076099

Ivan Young Park is an Acute Care Nurse Practitioner based in Austin, TX and is specialized in Acute Care. Ivan Young Park practices in Austin, TX and has the professional credentials of APRN. The NPI Number for Ivan Young Park is 1154076099 and holds a License No. AP1072471 (Texas).

The current practice location address for Ivan Young Park is 1208 W 38Th St, Austin, TX and can be reached out via phone at 512-324-1000.

Location: 1208 W 38Th St, Austin, TX, 78758-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154076099
Provider Name
Ivan Young Park
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1208 W 38Th St, Austin, TX, 78758-5545
Phone Number
512-324-1000
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1208 W 38Th St
City
Austin
State
Texas
Zip
78705-1006
Phone Number
512-324-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1208 W 38Th St
City
Austin
State
Texas
Zip
78705-1006
Phone Number
512-324-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
AP1072471 (Texas)
Definition
Definition to come...
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