IndividualActive
Debra Young, LPN,CCMA, NA
NPI 1992215289 · Personal Care Attendant · Wauwatosa, WI
Provider details
- NPI number
- 1992215289
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Credential
- LPN,CCMA, NA
- Sex
- Female
- Sole proprietor
- No
- License
- 043133699 (IL)
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
12234 W Dearbourn Ave
Wauwatosa, WI 53226-3842
Phone: (414) 839-1363
Fax: (414) 800-4213
Approximate (ZIP-level) locationGet directions
Mailing address
12234 W Dearbourn Ave
Wauwatosa, WI 53226-3842
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.