Individual
ELIZABETH ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3215 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-5987
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R093463
AR
363LF0000X
Family Nurse Practitioner
Primary
A006098
AR
363LF0000X
Family Nurse Practitioner
F01191795
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233547758
—
AR
Enumeration date
01/23/2019
Last updated
09/16/2020
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