Young, Emily K

Young, Emily K is an individual health care provider with primary practice located at 55 Lake Avenue North Department Of Pediatrics, Worcester MA 01655. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Young, Emily K can be contacted via phone (774) 441-8086.

Contact Information

Primary practice address
55 Lake Avenue North Department Of Pediatrics Worcester MA 01655
Phone: (774) 441-8086
Fax: (774) 441-8071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN241761 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN241761 Massachusetts

Profile Details

NPI number 1457459224
LBN Legal business name Young, Emily K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457459224 NPPES
Massachusetts MEDICAID 110074469A

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