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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790980126 | NPPES |
Arkansas | MEDICAID | 148477758 |
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