MEDICARE: DR. MARJORIE H YOUNG FNP

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
1	363LF0000X	Family Nurse Practitioner	0001097506	VA

General Provider Information

NPI Number	:	1851773352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARJORIE H YOUNG FNP

Provider Business Mailing Address
First Line	:	132 DOBBINS HOLLOW RD
Second Line	:
City	:	PILOT
State	:	VA
Zip	:	24138-1630
Country	:	US
Telephone Number	:	540-382-0178
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 DOBBINS HOLLOW RD
Second Line	:
City	:	PILOT
State	:	VA
Zip	:	24138-1630
Country	:	US
Telephone Number	:	540-382-0178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	09/19/2024

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