Nicole Ann Marie Young
Dental Hygienist
1441 Ne 10th Ave
Payette
, Idaho 83661-5420
Nicole Ann Marie Young
Dental Hygienist
1441 Ne 10th Ave
Payette
, Idaho 83661-5420
(208) 642-9598
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Nicole Ann Marie Young
- 1441 Ne 10th Ave
- Payette, ID
- Zip : 83661-5420
- Fax : (208) 642-9598
- Phone : (208) 642-9376
Second Address
- Nicole Ann Marie Young
- 1441 Ne 10th Ave
- Payette, ID
- Zip : 83661-5420
- Fax : (208) 642-9598
- Phone : (208) 642-9376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH2488 | ID |
| Y | 124Q00000X | Dental Hygienist | H5241 | OR |
National Provider Identifier
| NPI | 1013340702 |
|---|---|
| Provider Name | Nicole Ann Marie Young |
| First Address | Payette, ID 83661-5420 |
| Second Address | Payette, ID 83661-5420 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2013 |
| Last Update Date | 16/08/2013 |
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.