Individual
JUSTIN COLLINS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 782-3282
(717) 231-8964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN576608
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN576608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103447749
—
PA
Enumeration date
04/30/2013
Last updated
01/23/2021
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