Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | APRN.CNP.025556 | OH |
Y | 207RH0002X | Hospice and Palliative Medicine | APRN.CNP.025556 | OH |
NPI | 1053956425 |
---|---|
Provider Name | Pamela Jean Young |
First Address | Strongsville, OH 44136-2602 |
Second Address | Strongsville, OH 44136-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2019 |
Last Update Date | 24/07/2020 |