Provider Demographics
NPI:1356357107
Name:YOUNG, SARAH E (PA-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 GENERAL MILLS BLVD
Mailing Address - Street 2:GLOBAL HEALTH SERVICES
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1347
Mailing Address - Country:US
Mailing Address - Phone:763-764-7182
Mailing Address - Fax:
Practice Address - Street 1:1 GENERAL MILLS BLVD
Practice Address - Street 2:GLOBAL HEALTH SERVICES
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55426-1347
Practice Address - Country:US
Practice Address - Phone:763-764-7182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9742363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN970001350Medicare ID - Type Unspecified
MNP60626Medicare UPIN