Young, Michele Susanne

Young, Michele Susanne is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Young, Michele Susanne can be contacted via phone (479) 725-6977.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762-0845
Phone: (479) 725-6977
Fax: (479) 725-6577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 3007552 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A001658 Arkansas

Profile Details

NPI number 1790980126
LBN Legal business name Young, Michele Susanne
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2007
Last updated Jul 8th, 2024 - about 5 months 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 1790980126 NPPES
Arkansas MEDICAID 148477758

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