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NPI Code Detail

MEDICARE: AMY LYNN YOUNG CRNP

MEDICARE:   AMY LYNN YOUNG  CRNP
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
1363L00000XNurse PractitionerSP010472PA

General Provider Information

NPI Number : 1588991053
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN YOUNG CRNP
Provider Business Mailing Address
First Line : 353 N DUFFY RD
Second Line :
City : BUTLER
State : PA
Zip : 16001-1138
Country : US
Telephone Number : 800-362-8262
Fax Number : 724-598-6086
Provider Business Practice Location Address
First Line : 353 N DUFFY RD
Second Line :
City : BUTLER
State : PA
Zip : 16001-1138
Country : US
Telephone Number : 800-362-8262
Fax Number : 724-598-6086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 01/22/2019

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