Individual
HEIDI LANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 S ERVAY ST, DALLAS, TX 75201-6419
(214) 939-3933
(914) 653-1962
Mailing address
901 S ERVAY ST, DALLAS, TX 75201-6419
(214) 939-3933
(914) 653-1962
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
706469
TX
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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