Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 6170 | WI |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 112006 | NE |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | A001701 | AR |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP110297 | TX |
NPI | 1124082581 |
---|---|
Provider Name | Cheryl Elaine Young |
First Address | Rockwall, TX 75032-7550 |
Second Address | Rockwall, TX 75032-7550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 29/03/2021 |