Individual
MRS. ANDREA K YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, FNP-BC
Contact information
Practice address
209 LIPPINCOTT LN, URBANA, OH 43078-9802
(937) 599-7058
(937) 599-7048
Mailing address
209 LIPPINCOTT LN, URBANA, OH 43078-9802
(937) 599-7058
(937) 599-7048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.16033
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.16033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105306
—
OH
Enumeration date
06/17/2014
Last updated
08/31/2023
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