Individual
YOONI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4988
(425) 259-0966
(425) 257-1433
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966
(425) 257-1433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60798028
WA
363LA2200X
Adult Health Nurse Practitioner
201501210NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201501210NP-PP
OR
Other
Enumeration date
06/15/2015
Last updated
01/13/2025
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