Provider Demographics
NPI:1821695339
Name:YOUNG, BREANNA ALISIA (PA-C)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:ALISIA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:15389 W 91ST DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-1406
Mailing Address - Country:US
Mailing Address - Phone:034-037-9333
Mailing Address - Fax:
Practice Address - Street 1:15389 W 91ST DR STE 200
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-1406
Practice Address - Country:US
Practice Address - Phone:303-403-7933
Practice Address - Fax:303-403-7945
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2025-01-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant