Provider Demographics
NPI:1922574599
Name:YOUNG, MARGARET ELIZABETH (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:HOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:3700 W 10TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-2540
Mailing Address - Country:US
Mailing Address - Phone:660-827-1771
Mailing Address - Fax:660-827-1422
Practice Address - Street 1:3700 W 10TH ST STE 200
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-2540
Practice Address - Country:US
Practice Address - Phone:660-827-1771
Practice Address - Fax:660-827-1422
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018038309363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018038309OtherNP LICENSE