Individual
SUZANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 N SHERMAN DR, INDIANAPOLIS, IN 46226-4462
(317) 541-3400
Mailing address
PO BOX 78158, INDIANAPOLIS, IN 46278-0158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000713A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428970
—
IA
Enumeration date
06/15/2006
Last updated
02/12/2014
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