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NPI Code Detail

MEDICARE: BARBARA ANN YOUNG CRNA

MEDICARE:   BARBARA ANN YOUNG  CRNA
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
1367500000XCertified Registered Nurse AnesthetistR-94557-6MN

General Provider Information

NPI Number : 1366402117
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN YOUNG CRNA
Provider Business Mailing Address
First Line : 408 WARWICK ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-2547
Country : US
Telephone Number : 651-699-2858
Fax Number :
Provider Business Practice Location Address
First Line : 408 WARWICK ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-2547
Country : US
Telephone Number : 651-699-2858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/30/2011

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Directions to “ BARBARA ANN YOUNG CRNA” Practice Location

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