Provider Demographics
NPI:1528199296
Name:YOUNG, SHARON L (NP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:203 S. CANDY LANE
Mailing Address - Street 2:SUSAN ALBRIGHT RNP, PLLC SUITE 4-A
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-0000
Mailing Address - Country:US
Mailing Address - Phone:928-649-1389
Mailing Address - Fax:928-634-5314
Practice Address - Street 1:203 S CANDY LN
Practice Address - Street 2:SUITE 4-A
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4120
Practice Address - Country:US
Practice Address - Phone:928-649-1389
Practice Address - Fax:928-634-5314
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN061053363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP50446Medicare UPIN