Kyoung Sun Baek, APN RPN
Nurse Practitioner, Gerontology in Englewood Cliffs, NJ. Individual provider (NPI-1).
NPI number1982159174
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1982159174
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kyoung Sun Baek
- Credential
- APN RPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2016
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ00644900 | NJ | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 26NR11834400 | NJ |
Practice location
6 Sylvan AvenueSuite D
Englewood Cliffs, NJ 07632-2432
Phone 201-967-8425 · Fax 201-967-8443
Mailing address
6 Sylvan AvenueSuite D
Englewood Cliffs, NJ 07632-2432
Phone 201-967-8425 · Fax 201-967-8443
Other practice locations
350 Engle St
Englewood, NJ 07631-1808
Englewood, NJ 07631-1808
Phone 201-894-3000
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