Individual
MS. EMILY LOUISE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6858 OLD DOMINION DR, MC LEAN, VA 22101-3899
(703) 847-9800
(703) 356-7074
Mailing address
6858 OLD DOMINION DR, MC LEAN, VA 22101-3899
(703) 847-9800
(703) 356-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0110-006770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-006770
VA LICENSE PRACTICE AS A PA
VA
Enumeration date
03/28/2019
Last updated
01/23/2020
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