Individual
SUSAN L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
599 FARRINGTON HWY, KAPOLEI, HI 96707-2001
(808) 432-3600
Mailing address
401 KAMOKILA BLVD, KAPOLEI, HI 96707
(808) 432-3600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-800
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000255281
HMSA BILLING NUMBER
HI
05
—
56702602
—
HI
Enumeration date
10/02/2006
Last updated
06/10/2021
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