Individual
CAROLINE S. N. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
2121 E HARMONY RD UNIT 170, FORT COLLINS, CO 80528-3413
(970) 493-6337
(970) 493-3528
Mailing address
2121 E HARMONY RD UNIT 170, FORT COLLINS, CO 80528-3413
(970) 493-6337
(970) 493-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004022
GA
363A00000X
Physician Assistant
Primary
PA.0005224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203586736A
—
GA
05
—
9000155867
—
CO
Enumeration date
10/02/2006
Last updated
03/08/2018
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