Individual
CONSTANCE L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
527 BENHAM ST, BONNE TERRE, MO 63628-1205
(573) 358-9119
(573) 358-9489
Mailing address
527 BENHAM ST, BONNE TERRE, MO 63628-1205
(573) 358-9119
(573) 358-9489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
076265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428318000
—
MO
Enumeration date
02/02/2006
Last updated
06/29/2015
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