Provider Demographics
NPI:1780574541
Name:YOUNG, CARRIE (BSN, RN, CRRN)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:BSN, RN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16101 BOTHELL EVERETT HWY UNIT E107
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1732
Mailing Address - Country:US
Mailing Address - Phone:808-203-8737
Mailing Address - Fax:808-203-8737
Practice Address - Street 1:16101 BOTHELL EVERETT HWY UNIT E107
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1732
Practice Address - Country:US
Practice Address - Phone:808-203-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60162243163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management