Mary C Young
Nurse Practitioner - Neonatal Nurse Practitioner - Pediatrics
1000 Asylum Ave Ste 2109a Neonatal Intensive Care
Hartford
, Connecticut 06105-1719
Mary C Young
Nurse Practitioner - Neonatal Nurse Practitioner - Pediatrics
1000 Asylum Ave Ste 2109a Neonatal Intensive Care
Hartford
, Connecticut 06105-1719
(860) 714-8218
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About
Features
Specialties
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mary C Young
- 114 Woodland Street Neonatal Intensive Care
- Hartford, CT
- Zip : 06105
- Fax : (860) 714-8218
- Phone : (860) 714-4404
Second Address
- Mary C Young
- 1000 Asylum Ave Ste 2109a Neonatal Intensive Care
- Hartford, CT
- Zip : 06105-1719
- Phone : (860) 714-6581
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LN0000X | Nurse Practitioner - Neonatal | 000953 | CT |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 000953 | CT |
National Provider Identifier
| NPI | 1063487106 |
|---|---|
| Provider Name | Mary C Young |
| First Address | Hartford, CT 06105 |
| Second Address | Hartford, CT 06105-1719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 14/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004254265 | (05) | CT |
| P36959 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.