Individual
MELINDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
235662
WI
163WC1500X
Community Health Registered Nurse
235662
WI
163WE0003X
Emergency Registered Nurse
235662
WI
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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