Healthcare Provider Details

I. General information

NPI: 1437291788
Provider Name (Legal Business Name): SONJA M MARTIN YOUNG APRN, CNM, ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BEN WALTERS LN
HOMER AK
99603-7707
US

IV. Provider business mailing address

3959 BEN WALTERS LN
HOMER AK
99603-7707
US

V. Phone/Fax

Practice location:
  • Phone: 907-299-1800
  • Fax: 907-235-8346
Mailing address:
  • Phone: 907-235-3436
  • Fax: 907-235-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number20077
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number726
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: