Individual
DIANE M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
36 W PARK LN, WATERLOO, IA 50701-5178
(319) 234-0109
(319) 234-5774
Mailing address
36 W PARK LN, WATERLOO, IA 50701-5178
(319) 234-0109
(319) 234-5774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
J-054600
IA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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