Healthcare Provider Details

I. General information

NPI: 1720327752
Provider Name (Legal Business Name): ANA CERRATO-YOUNG CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 W 4TH ST
CHADRON NE
69337-2272
US

IV. Provider business mailing address

PO BOX 518
RUSHVILLE NE
69360-0518
US

V. Phone/Fax

Practice location:
  • Phone: 605-646-3786
  • Fax: 605-646-4828
Mailing address:
  • Phone: 308-207-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9351903
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number113050
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: