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Individual

PATRICIA JO YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1810 MORAN ST, IDAHO FALLS, ID 83401-4337
(208) 529-0342
(208) 529-6981
Mailing address
1810 MORAN ST, IDAHO FALLS, ID 83401-4337
(208) 529-0342
(208) 529-6981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
73974
ID
363LG0600X
Gerontology Nurse Practitioner
Primary
73974
ID

Other

Enumeration date
04/27/2023
Last updated
04/12/2024
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