Individual
RHONDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245098-8
MN
363LN0000X
Neonatal Nurse Practitioner
5126
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5126
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245098-8
REGISTERED NURSE LICENSE NUMBER
MN
01
—
5126
APRN LICENSE
MN
01
—
YOU1-0440-5702
NATIONAL CERTIFICATION CORPORATION
—
Enumeration date
04/10/2017
Last updated
02/07/2018
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