Individual
DEBORAH LYNN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
N2950 STATE RD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143335-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7664-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730615030
BCBSWI
WI
05
—
1730615030
—
WI
01
—
700332
MERCYCARE INSURANCE
WI
01
—
APPROVED
BCBS IL PPO
IL
01
—
F400420519
IL MEDICARE
IL
01
—
K400399977
WI MEDICARE
WI
Enumeration date
05/04/2017
Last updated
12/03/2018
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