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Individual

PHILIP RYAN YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
3904 TERRACE HEIGHTS DRIVE, SUITE D, YAKIMA, WA 98901-1568
(509) 902-1931
(509) 902-1970
Mailing address
3904 TERRACE HEIGHTS DR STE D, YAKIMA, WA 98901-1568
(509) 902-1931
(509) 248-8291

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60052188
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60052188
WA
363LP2300X
Primary Care Nurse Practitioner
AP60052188
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP60052188
STATE ARNP LICENSE
WA
Enumeration date
11/06/2008
Last updated
09/26/2021
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