Healthcare Provider Details
I. General information
NPI: 1154333102
Provider Name (Legal Business Name): DEBORAH ELLEN YOUNG CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US
IV. Provider business mailing address
7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US
V. Phone/Fax
- Phone: 412-365-4747
- Fax: 412-365-4765
- Phone: 412-365-4747
- Fax: 412-365-4765
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | RN299471L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 3148 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | VP006719B |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: