Provider Demographics
NPI:1477250959
Name:YOUNG, RACHEL BROOKE (NP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BROOKE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:B
Other - Last Name:CHRISTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3830 FERGUSON RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-1526
Mailing Address - Country:US
Mailing Address - Phone:574-238-8290
Mailing Address - Fax:
Practice Address - Street 1:3830 FERGUSON RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-1526
Practice Address - Country:US
Practice Address - Phone:574-238-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28237423A163WX0200X
IN71014267A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology