Provider Demographics
NPI:1821662586
Name:NEALE-YOUNG, YOLANDA DOROTHY (NP-C)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DOROTHY
Last Name:NEALE-YOUNG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 TOWNE PARK DR APT 1A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-8320
Mailing Address - Country:US
Mailing Address - Phone:443-768-6020
Mailing Address - Fax:
Practice Address - Street 1:1848 TOWNE PARK DR APT 1A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-8320
Practice Address - Country:US
Practice Address - Phone:443-768-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0028888363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner