| Doctor Name: | TONYA RACHEL YOUNG |
| NPI Number: | 1114215779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 72424 |
| Business Practice Address: | 122 Center St Clay, WV - 250437046 |
| Business Phone Number: | 3045877301 |
| Business Fax Number: | 3045872464 |
| Mailing Address: | Po Box 147, CLAY |
| State: | WV |
| Postal Code: | 250430147 |
| Phone Number: | 3045872541 |
| Fax Number: | 3045872594 |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 72424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |