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ELIZABETH DEITERS YOUNG NP NPI 1871045914


NPI Information

NPI: 1871045914
Provider Name: ELIZABETH DEITERS YOUNG, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: MERCY CLINIC EAST COMMUNITIES

PECOS Registration: Yes

Address:
621 S NEW BALLAS RD
SUITE 507A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-5780
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Elizabeth Deiters Young, NP is a primary care nurse practitioner in Saint Louis, MO with 8 years of experience. Elizabeth Deiters Young, NP NPI is 1871045914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 507A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-5780

The NPI 1871045914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary Care2016036411MISSOURIYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.