Individual
EUNJIN LYNN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-8000
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001226040
VA
163W00000X
Registered Nurse
RN1020191
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
109893
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2015
Last updated
03/14/2016
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