Individual
SUSAN MARIE YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CNM, RN
Contact information
Practice address
2601 E ROOSEVELT STREET, PHOENIX, AZ 85008
(602) 344-5651
Mailing address
PO BOX 5177, PHOENIX, AZ 85010-5177
(602) 344-5651
(602) 344-5578
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
628233
TX
367A00000X
Advanced Practice Midwife
Primary
RN110950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144504104
—
TX
05
—
144504105
—
TX
05
—
805864
—
AZ
01
—
88N386
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/26/2006
Last updated
08/26/2008
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