IndividualActive
Derek Young
NPI 1083262224 · Home Health Aide · Minnetrista, MN
Provider details
- NPI number
- 1083262224
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 390826 (MN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5587 Orchard Cv
Minnetrista, MN 55364-1292
Phone: (952) 652-3959
Approximate (ZIP-level) locationGet directions
Mailing address
5587 Orchard Cv
Minnetrista, MN 55364-1292
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.