Individual
MRS. PATRICE DANITA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHCNS, BC
Contact information
Practice address
1901 E MAIN ST, RICHMOND, IN 47374-5707
(765) 935-7284
(765) 935-5002
Mailing address
1901 E MAIN ST, RICHMOND, IN 47374-5707
(765) 935-7284
(765) 935-5002
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70000093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244564
ANTHEM
IN
05
—
200310370A
—
IN
01
—
28098082A
RN LICENSE
IN
01
—
485522000
MAGELLAN
IN
01
—
70000093A
APRN LICENSE
IN
Enumeration date
08/30/2006
Last updated
03/17/2016
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