Individual
LINDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 505, LITTLE ROCK, AR 72205-5302
(501) 664-4532
(501) 663-4335
Mailing address
500 S UNIVERSITY AVE, SUITE 505, LITTLE ROCK, AR 72205-5302
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687882
TX
164W00000X
Licensed Practical Nurse
R78158
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C02647
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A181
BLUE CROSS BLUE SHIELD
AR
01
—
P00367635
MEDICARE RAILROAD
AR
Enumeration date
01/05/2007
Last updated
08/16/2007
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