Young, Patrice Danita

Young, Patrice Danita is an sole proprietor health care provider with primary practice located at 1901 E Main St , Richmond IN 47374-5707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Young, Patrice Danita can be contacted via phone (765) 935-7284.

Contact Information

Primary practice address
1901 E Main St Richmond IN 47374-5707
Phone: (765) 935-7284
Fax: (765) 935-5002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 70000093A Indiana

Profile Details

NPI number 1801906987
LBN Legal business name Young, Patrice Danita
Credentials MSN, PMHCNS, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Mar 17th, 2016 - about 10 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 1801906987 NPPES
Indiana Other 70000093A APRN LICENSE
Indiana Other 000000244564 APRN LICENSE
Indiana Other 485522000 APRN LICENSE
Indiana MEDICAID 200310370A APRN LICENSE
Indiana Other 28098082A APRN LICENSE

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