Individual
ALTON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
1814 RINCON ST, CARLSBAD, NM 88220-3936
(256) 682-4155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R55383
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53130243
—
NM
Enumeration date
04/25/2006
Last updated
10/25/2011
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