IndividualActive
Patricia Young, CNP
NPI 1790473692 · Gerontology Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1790473692
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 73974 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1810 Moran St
Idaho Falls, ID 83401-4337
Phone: (208) 529-0342
Fax: (208) 529-6981
Approximate (ZIP-level) locationGet directions
Mailing address
1810 Moran St
Idaho Falls, ID 83401-4337
Registry dates
- Enumerated
- 2023-04-27
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.