Provider Demographics
NPI:1366864241
Name:YOUNG, SARAH LYNNE (NP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYNNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNNE
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:360 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-2379
Mailing Address - Country:US
Mailing Address - Phone:970-874-2753
Mailing Address - Fax:970-874-2753
Practice Address - Street 1:360 E 8TH ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2379
Practice Address - Country:US
Practice Address - Phone:970-874-2753
Practice Address - Fax:970-874-6852
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000221363LP0200X
COAPN.0992206-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics