Provider Demographics
NPI:1568750206
Name:YOUNG, ANNE ATCHESON (ARNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ATCHESON
Last Name:YOUNG
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MRS
Other - First Name:NONA
Other - Middle Name:ANNE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:301 N ALEXANDER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4303
Mailing Address - Country:US
Mailing Address - Phone:813-757-8125
Mailing Address - Fax:813-605-6167
Practice Address - Street 1:301 N ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4303
Practice Address - Country:US
Practice Address - Phone:813-757-1200
Practice Address - Fax:813-605-6167
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN254532363LA2200X, 363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013566900Medicaid