Individual
MRS. ELIZABETH ANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1223
(413) 732-4720
Mailing address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1223
(413) 732-4720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106978
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
106978
MA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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