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General NPI Number Information
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NPI Number | 1033417498
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Entity Type | Individual
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Provider Name | LISA ANN YOUNG WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1101 N WILMOT RD STE 125
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City | TUCSON
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State | AZ
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Zip | 85712-5144
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Country | US
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Telephone | 520-367-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 697 S SMOKEY MOUNTAINS RD
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City | TUCSON
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State | AZ
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Zip | 85748-6619
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Country | US
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Telephone | 636-485-3302
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 316738
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License Number State | AZ
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