Youngstrom, Cathy A

Youngstrom, Cathy A is an individual health care provider with primary practice located at 130 Health Park Blvd. , St. Augustine FL 32086-5776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Youngstrom, Cathy A can be contacted via phone (904) 826-3469.

Contact Information

Primary practice address
130 Health Park Blvd. St. Augustine FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 826-0374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1554 Florida

Profile Details

NPI number 1558328187
LBN Legal business name Youngstrom, Cathy A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 10th, 2007 - about 17 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 1558328187 NPPES
Florida MEDICAID 0290629500
Florida Other P00191661

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