Organization
THOMAS P YOUNG PHD NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P YOUNG III PHD NP (OWNER)
(415) 755-8952
Entity
Organization
Contact information
Practice address
165 ROWLAND WAY STE 201, NOVATO, CA 94945-5055
(415) 895-1441
Mailing address
1615 HILL RD STE 14, NOVATO, CA 94947-4304
(415) 895-1441
(415) 895-1288
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WG0600X
Gerontology Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/13/2019
Last updated
03/17/2021
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