Individual
MARYN LYNNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
Mailing address
73372 ADOBE SPRINGS DR, PALM DESERT, CA 92260-1143
(760) 898-5806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
829828
CA
363LF0000X
Family Nurse Practitioner
95009992
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R46797
ND
Other
Enumeration date
10/23/2018
Last updated
06/20/2022
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