Provider Demographics
NPI:1083251326
Name:YOUNG, BRITTANY ELIZABETH (NP-C, NP-BC)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NP-C, NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9320 DUFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GAINES
Mailing Address - State:MI
Mailing Address - Zip Code:48436-9638
Mailing Address - Country:US
Mailing Address - Phone:810-625-6564
Mailing Address - Fax:
Practice Address - Street 1:1075 SUNCREST DR
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-4403
Practice Address - Country:US
Practice Address - Phone:810-667-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704294900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily