MEDICARE: LAUREN CATHERINE YOUNG PMHNP

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
1	163W00000X	Registered Nurse	26NR16297600	NJ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP027262	PA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ00469800	NJ

General Provider Information

NPI Number	:	1639503527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CATHERINE YOUNG PMHNP

Provider Business Mailing Address
First Line	:	128 ANNABEL RD
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-4418
Country	:	US
Telephone Number	:	856-217-0799
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 LIMEKILN PIKE STE 11
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-3602
Country	:	US
Telephone Number	:	484-864-0798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	04/10/2026

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