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NPI Code Detail

MEDICARE: ADDILYN NOU YOUNG

MEDICARE: ADDILYN NOU YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse2467798MN

General Provider Information

NPI Number : 1265383830
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDILYN NOU YOUNG
Provider Business Mailing Address
First Line : 4008 80TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-2616
Country : US
Telephone Number : 763-453-5214
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2104
Country : US
Telephone Number : 952-924-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ ADDILYN NOU YOUNG ” Practice Location

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