Individual
KRISTEN VIRGINIA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3867
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN618842
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN618842
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN618842
PA LIC
PA
Enumeration date
07/03/2018
Last updated
05/28/2020
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