Individual
ALYSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4921 PARKVIEW PLACE, MAILSTOP 90-32-683, SAINT LOUIS, MO 63110
(314) 454-8134
(314) 454-8180
Mailing address
4921 PARKVIEW PLACE, MAILSTOP 90-32-683, SAINT LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015006762
MO
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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