Provider Demographics
NPI:1346282357
Name:YOUNG, LAURA MAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MAY
Last Name:YOUNG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 COVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6379
Mailing Address - Country:US
Mailing Address - Phone:267-392-5581
Mailing Address - Fax:
Practice Address - Street 1:1603 COVINGTON RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:267-392-5581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP67393363L00000X
PASP009757363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMY0174463OtherDEA
NCS86625Medicare UPIN
NC500008111Medicare ID - Type UnspecifiedRAILROADMEDICARE