Young, Nicole J.

Young, Nicole J. is an individual health care provider with primary practice located at 3341 Beale Ave , Altoona PA 16601-1549. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Young, Nicole J. can be contacted via phone (814) 944-5357.

Contact Information

Primary practice address
3341 Beale Ave Altoona PA 16601-1549
Phone: (814) 944-5357
Fax: (814) 946-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TMA052664 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TMA052664 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055624 Pennsylvania

Profile Details

NPI number 1922362797
LBN Legal business name Young, Nicole J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 16th, 2018 - about 7 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 1922362797 NPPES
Pennsylvania Other TMA052664 TEMPORARY STATE LICENSE
Pennsylvania Other MA055624 TEMPORARY STATE LICENSE

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