Individual
MRS. PEGGY LYNN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3200 CHANNING WAY, STE 205, IDAHO FALLS, ID 83404-7546
(208) 535-4300
(208) 535-4315
Mailing address
2985 CORTEZ AVE, STE 200, IDAHO FALLS, ID 83404-7554
(208) 535-4302
(208) 535-4315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1027A
ID
Other
Enumeration date
12/12/2010
Last updated
09/07/2016
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