Individual
LINDA SUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R026922
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010317679
TAX ID#
ME
05
—
105650102
—
ME
01
—
2507855
AETNA
ME
Enumeration date
01/04/2006
Last updated
11/17/2010
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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