Provider / Organization | NPI | Date Certified |
---|---|---|
CAROL LOUISE YOUNG | 1215511001 | 2021-05-08 |
Carol Louise Young is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215511001. Registration indicates Carol Louise Young is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Carol Louise Young RN |
Practice Office Address | 2500 MERCED ST SAN LEANDRO, CA US |
Practice Office Telephone | 5104541000 |
Mailing Address | 9454 THUNDERBIRD PL SAN RAMON, CA 945833624 US |
Business Telephone | 5105418278 |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 418580
CA |
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN418580
CA |