Individual
THERESA ANNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 525-4526
Mailing address
71 ADAMS RD, FRANKFORT, ME 04438-3331
(207) 525-4526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R054148
ME
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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