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NPI Code Detail

MEDICARE: MRS. DIONNE MICHELLE YOUNG ANP

MEDICARE: MRS. DIONNE MICHELLE YOUNG ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner2008007380WI

General Provider Information

NPI Number : 1245475979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIONNE MICHELLE YOUNG ANP
Provider Business Mailing Address
First Line : 1027 N 9TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1411
Country : US
Telephone Number : 414-765-0606
Fax Number : 414-765-0226
Provider Business Practice Location Address
First Line : 1027 N 9TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1411
Country : US
Telephone Number : 414-765-0606
Fax Number : 414-765-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 12/09/2008

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Directions to “ MRS. DIONNE MICHELLE YOUNG ANP” Practice Location

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