Organization
YOUNG HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE YOUNG FNP (PROVIDER)
(801) 815-2967
Entity
Organization
Contact information
Practice address
3018 E 3300 S, SALT LAKE CITY, UT 84109-2144
(801) 815-2967
Mailing address
6321 S BOXWOOD RD, SALT LAKE CITY, UT 84121-2213
(801) 815-2967
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
53036184405
UT
363LF0000X
Family Nurse Practitioner
5303618-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194122788
PROVIDER NPI
UT
01
—
1366982522
PRACTICE NPI
UT
Enumeration date
03/06/2017
Last updated
08/10/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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