Individual
MOLLY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
(660) 428-1280
Mailing address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2017000412
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9183166315
—
MO
Enumeration date
07/23/2021
Last updated
07/23/2021
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