Individual
LINDA MARIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 CALIFORNIA DR, MEDICAL STAFF OFFICE, VACAVILLE, CA 95696-2000
(707) 448-6841
Mailing address
40533 DOROTHY DRIVE, HOMER, AK 99603
(907) 414-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NURU650
AK
363LF0000X
Family Nurse Practitioner
650
AK
363LF0000X
Family Nurse Practitioner
NP15559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312984-22
ANCC
—
Enumeration date
10/19/2006
Last updated
01/24/2020
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