Individual
BRANDON L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
146976
MT
363L00000X
Nurse Practitioner
AP61679812
WA
363L00000X
Nurse Practitioner
Primary
R874330
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0110006
AANP
MS
Enumeration date
03/04/2010
Last updated
05/07/2025
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