Individual
LINDA SUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
43 GABRIEL DR, AUGUSTA, ME 04330-7852
(207) 626-3426
(207) 621-8393
Mailing address
1 ROCKWOOD RD, AUGUSTA, ME 04330-7745
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
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