DANIEL T YOUNG APN NPI 1760433882

NPI Information

NPI: 1760433882
Provider Name: DANIEL T YOUNG, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1302 W COLLIN RAYE DR
SUITE A
DE QUEEN, AR
ZIP 71832
Phone: (870) 584-0284
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Daniel T Young, APN is a family nurse practitioner in De Queen, AR. Daniel T Young, APN NPI is 1760433882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1302 W COLLIN RAYE DR
SUITE A
DE QUEEN, AR
ZIP 71832-502
Phone: (870) 584-0284

The enumeration date for this NPI number is 5/13/2006 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A01914	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5Y728	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
2	P87483	MEDICARE UPIN
3	157468758	MEDICAID	ARKANSAS
4	5Y728	OTHER	ARKANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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