Individual
MR. RICHARD O YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 HOSPITAL DR, MADISON, TN 37115-5031
(615) 865-0300
Mailing address
732 FALCON DR, MADISON, TN 37115-2561
(615) 865-0944
(615) 868-1100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069699
AMERIGROUP
TN
05
—
3602191
—
TN
01
—
4130656
BCBS
TN
01
—
700001100
KY MEDICAID
KY
Enumeration date
03/17/2006
Last updated
07/12/2010
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