Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 11918 | CA |
NPI | 1326271065 |
---|---|
Provider Name | Colleen S Young |
First Address | Whittier, CA 90602-1006 |
Second Address | Whittier, CA 90602-1006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2009 |
Last Update Date | 28/08/2009 |