Healthcare Provider Details

I. General information

NPI: 1053677039
Provider Name (Legal Business Name): STEPHANIE LIN YOUNG CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE L BOSENBARK

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 POWDER MILL RD
YORK PA
17402-4723
US

IV. Provider business mailing address

1861 POWDER MILL RD
YORK PA
17402-4723
US

V. Phone/Fax

Practice location:
  • Phone: 717-718-2041
  • Fax: 717-747-2102
Mailing address:
  • Phone: 717-718-2041
  • Fax: 717-747-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN555917
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: