Individual
BONNIE TONG YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6020
Mailing address
1010 SUMMERFIELD DR, DALTON, PA 18414-9622
(917) 892-7569
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F430472-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
SP016507
PA
Other
Enumeration date
11/19/2009
Last updated
08/30/2020
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