Provider Demographics
NPI:1720327752
Name:CERRATO-YOUNG, ANA (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:
Last Name:CERRATO-YOUNG
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:69360-0518
Mailing Address - Country:US
Mailing Address - Phone:308-207-0456
Mailing Address - Fax:
Practice Address - Street 1:651 W 4TH ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2272
Practice Address - Country:US
Practice Address - Phone:605-646-3786
Practice Address - Fax:605-646-4828
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9351903163W00000X
NE113050363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse