Provider Demographics
NPI:1265104194
Name:YOUNG, ANTHONY MATTHEW (APRN, FNP-C)
Entity type:Individual
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First Name:ANTHONY
Middle Name:MATTHEW
Last Name:YOUNG
Suffix:
Gender:M
Credentials:APRN, FNP-C
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Mailing Address - Street 1:11217 HIGHWAY 421 S
Mailing Address - Street 2:
Mailing Address - City:TYNER
Mailing Address - State:KY
Mailing Address - Zip Code:40486-8352
Mailing Address - Country:US
Mailing Address - Phone:606-598-5104
Mailing Address - Fax:606-712-1200
Practice Address - Street 1:210 MARIE LANGDON DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-6388
Practice Address - Country:US
Practice Address - Phone:606-813-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3016750363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily