Individual
CAROL JEANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1620, CHEVY CHASE, MD 20815-4404
(301) 718-9800
(301) 986-1672
Mailing address
PO BOX 790058, SAINT LOUIS, MO 63179-0058
(636) 549-2380
(314) 569-5974
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R085163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076931200
—
MD
01
—
430072671
RR MEDICARE
MD
01
—
KBC1CH
BCBS - CAREFIRST
MD
01
—
S417 0010
BCBS - CAREFIRST
DC
Enumeration date
11/08/2005
Last updated
05/03/2010
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