| Nanyoung Park, ANP-BC | |
|
3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | |
| (770) 614-9799 | |
| (770) 614-9789 |
| Full Name | Nanyoung Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 3590 Peachtree Industrial Blvd, Duluth, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043633084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | RN190483 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Oncology Services Llc | 1850627423 | 30 |
| Entity Name | Gwinnett Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952340994 PECOS PAC ID: 8123916426 Enrollment ID: O20040309000009 |
| Entity Name | North Atlanta Oncology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871055434 PECOS PAC ID: 1850627423 Enrollment ID: O20190719002959 |
| Mailing Address | Practice Location Address |
|---|---|
| Nanyoung Park, ANP-BC 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 Ph: (770) 614-9799 | Nanyoung Park, ANP-BC 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 Ph: (770) 614-9799 |
Ms. Regina Canty, NP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 Phone: 770-931-6012 | |
Elizabeth M Moore, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Boul, Duluth, GA 30096 Phone: 770-931-6012 | |
Anne Elizabeth Hysong, APRN, CCNS, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3620 Howell Ferry Rd, Duluth, GA 30096 Phone: 678-312-6346 | |
Mary F Kozel, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Department Of Behavioral Health, 3650 Steve Reynolds Boul, Duluth, GA 30096 Phone: 770-931-6012 |