Individual
MRS. RACHAEL ELIZABETH YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2005 TECHNOLOGY PKWY, SUITE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Mailing address
409 S 2ND ST, FIRST FLOOR, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010606
PA
363LF0000X
Family Nurse Practitioner
SP010606
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103010353
—
PA
Enumeration date
12/29/2009
Last updated
03/29/2017
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