Provider Demographics
NPI:1528589777
Name:PLANK, SEAN HYUM-SUNG (MSN, APRN-RX, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:HYUM-SUNG
Last Name:PLANK
Suffix:
Gender:M
Credentials:MSN, APRN-RX, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 GLACIER HWY
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7251
Mailing Address - Country:US
Mailing Address - Phone:907-463-3303
Mailing Address - Fax:907-463-6858
Practice Address - Street 1:1944 ALLEN CT STE A
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9598
Practice Address - Country:US
Practice Address - Phone:907-463-6882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA823188163W00000X
CA95006484363LF0000X
HIAPRN-2332363LF0000X
AK202358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse