Organization Name: | DANIEL YOUNG FNP, INC |
NPI Number: | 1548466444 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL YOUNG (PRESIDENT) |
Mailing Address: | 1302 W Collin Raye Dr Suite A De Queen |
State: | AR US |
Postal Code: | 718322502 |
Phone Number: | 8706424035 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A01914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |