Provider Demographics
NPI:1982772174
Name:YOUNG, BARBARA ELIZABETH (FNPC CDE)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:FNPC CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 NORTH SARATOGA STREET
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-1583
Mailing Address - Country:US
Mailing Address - Phone:757-923-0300
Mailing Address - Fax:
Practice Address - Street 1:131 NORTH SARATOGA STREET
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-1583
Practice Address - Country:US
Practice Address - Phone:757-923-0300
Practice Address - Fax:757-923-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001157793163W00000X
VA0024165293363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner