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MR. RUSTIN JIN PARK RN, BSN
NPI 1003112814
Registered Nurse - Psychiatric/Mental Health in Las Vegas, NV

Active since January 27, 2011
4000 E CHARLESTON BLVD, SUITE 130, LAS VEGAS, NV 89104(702) 968-4020(702) 968-4040 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rustin Jin Park Rn, Bsn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSTIN JIN PARK RN, BSN (NPI 1003112814) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (RN65754) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1003112814
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameMR. RUSTIN JIN PARKCredential: RN, BSN
Location Address4000 E CHARLESTON BLVD, SUITE 130Las Vegas, NV 89104-6659
Mailing Address4000 E Charleston Blvd, Suite 130Las Vegas, NV 89104-6659 · (702) 968-4020 · Fax (702) 968-4040
Phone(702) 968-4020
Fax(702) 968-4040
Sole ProprietorNo
Enumeration DateJanuary 27, 2011
✔ NPI 1003112814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in NV · RN65754
4000 E CHARLESTON BLVD, Las Vegas, NV 89104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDY C MCEACHERN RN
Registered Nurse
4000 E CHARLESTON BLVD, STE 230
LAS VEGAS, NV 89104
Clark County (702) 968-4020
APRIL ROMER B.A.
Counselor
4000 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 968-4000
CHRISTENSEN ALLERGY ASSOCIATES
Allergy & Immunology (Allergy)
4000 E CHARLESTON BLVD, #100
LAS VEGAS, NV 89104
Clark County (702) 432-9544
SARAH ESCARTIN
Counselor (Mental Health)
4000 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 968-5000
MS. NATALIE ROSE SCHMALTZ QMHA
Community Health Worker
4000 E CHARLESTON BLVD, 230
LAS VEGAS, NV 89104
Clark County (702) 968-5000
KATHRYN ANN SAATZER LPN
Licensed Practical Nurse
4000 E CHARLESTON BLVD, B-130
LAS VEGAS, NV 89104
Clark County (702) 968-4000
NEVADA FAMILY PRACTICE RESIDENCE PROGRAM
Pharmacy
4000 E CHARLESTON BLVD, B-130
LAS VEGAS, NV 89104
Clark County (702) 968-4038
MS. LEE ANN HAYES
Social Worker
4000 E CHARLESTON BLVD, SUITE 230
LAS VEGAS, NV 89104
Clark County (702) 939-8561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustin Park's NPI number?

The NPI number for Rustin Park is 1003112814. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Where is Rustin Park located?

Rustin Park practices at 4000 E Charleston Blvd Suite 130, Las Vegas, NV 89104. The listed phone number is (702) 968-4020.

What is Rustin Park's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Rustin Park was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.