Individual
YOUNG NAM MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
13880 BRADDOCK RD STE 107, CENTREVILLE, VA 20121-2460
(703) 965-0180
Mailing address
4477 SHADY POINT PL, CHANTILLY, VA 20151-2243
(703) 283-5951
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024189424
VA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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