| Doctor Name: | DR. ADELE E YOUNG |
| NPI Number: | 1013153220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.N.P., PHD |
| License Number: | 0024146467 |
| Business Practice Address: | 4379 Ridgewood Center Dr Suite 102 Woodbridge, VA - 221928323 |
| Business Phone Number: | 7036807950 |
| Business Fax Number: | 7036807953 |
| Mailing Address: | 4379 Ridgewood Center Dr, Ste 102 WOODBRIDGE |
| State: | VA |
| Postal Code: | 221928323 |
| Phone Number: | 7036807950 |
| Fax Number: | 7036807953 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 05/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 0024146467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |