Individual
DIANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3018 E 3300 S, SALT LAKE CITY, UT 84109-2144
(801) 815-2967
(385) 275-7698
Mailing address
1420 W 12600 S STE 102, RIVERTON, UT 84065-7080
(801) 254-4600
(801) 254-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5303618-4405
UT
364SF0001X
Family Health Clinical Nurse Specialist
53036184405
UT
Other
Enumeration date
11/25/2014
Last updated
05/14/2019
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