Provider Demographics
NPI:1518185370
Name:YOUNG, VERNELL (CNA)
Entity Type:Individual
Prefix:
First Name:VERNELL
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 MERION TRCE APT A205
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1711
Mailing Address - Country:US
Mailing Address - Phone:610-734-1738
Mailing Address - Fax:
Practice Address - Street 1:7200 MERION TRCE APT A205
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1711
Practice Address - Country:US
Practice Address - Phone:610-734-1738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9803911376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide