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NPI Code Detail

MEDICARE: MICHELE YOUNG

MEDICARE: MICHELE YOUNG
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1396213070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE YOUNG
Provider Business Mailing Address
First Line : 1995 ASH ST SW
Second Line :
City : DEMING
State : NM
Zip : 88030-0793
Country : US
Telephone Number : 575-494-0371
Fax Number :
Provider Business Practice Location Address
First Line : 1419 S SANTA BARBARA ST
Second Line :
City : DEMING
State : NM
Zip : 88030-5361
Country : US
Telephone Number : 575-936-4227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2018
Last Update Date : 01/24/2025

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Directions to “ MICHELE YOUNG ” Practice Location

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