Healthcare Provider Details

I. General information

NPI: 1356357107
Provider Name (Legal Business Name): SARAH E YOUNG P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 EARLE BROWN DR
BROOKLYN CENTER MN
55430-2506
US

IV. Provider business mailing address

8170 33RD AVENUE SOUTH MAILSTOP 21110Q
BLOOMINGTON MN
55425
US

V. Phone/Fax

Practice location:
  • Phone: 952-993-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9742
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: