Individual
CHRISTINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1915 SANDY LAKE RD TRLR 63, CARROLLTON, TX 75006-3417
(805) 458-4922
Mailing address
501 MORRO BAY BLVD, MORRO BAY, CA 93442-1913
(805) 458-4492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95025589
CA
363LF0000X
Family Nurse Practitioner
Primary
1074237
TX
363LF0000X
Family Nurse Practitioner
95025589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95025589
BRN
CA
Enumeration date
06/07/2022
Last updated
07/10/2023
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