Provider Demographics
NPI:1316551500
Name:YOUNG, WINSLOW (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:WINSLOW
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 PARK ROW APT 937
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4176
Mailing Address - Country:US
Mailing Address - Phone:917-805-5942
Mailing Address - Fax:
Practice Address - Street 1:15000 PARK ROW APT 937
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4176
Practice Address - Country:US
Practice Address - Phone:917-805-5942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI44845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily