Most Relevant Information
Provider Data
| NPI Number: | 1003272865 |
| Provider Name: | EUNAE KO NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00610300 |
Most Important Dates
| Enumeration Date: | 01/10/2016 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
365A W 28TH ST
NEW YORK
NY
100014703
Practice Location Phone/Fax
| Phone: | 2127413030 |
| Fax: | 2127413040 |
Provider Mailing Location
6255 W SUNSET BLVD FL 21
LOS ANGELES
CA
900287422
Provider Mailing Phone/Fax
| Phone: | 3238605200 |
| Fax: | 3234677119 |