Provider Demographics
NPI:1629651229
Name:YOUNG, EMILY WARD (MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:WARD
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-1015
Mailing Address - Country:US
Mailing Address - Phone:315-378-7493
Mailing Address - Fax:
Practice Address - Street 1:10 SEMINARY ST
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-1015
Practice Address - Country:US
Practice Address - Phone:315-655-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily