Individual
SHAWN YOUNG-SHIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN725312
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN725312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN725312
PA RN LICENCE
PA
Enumeration date
02/09/2023
Last updated
05/29/2025
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