DEBORAH LYNN YOUNG APRN FNP NPI 1730615030

NPI Information

NPI: 1730615030
Provider Name: DEBORAH LYNN YOUNG, APRN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
N2950 STATE ROAD 67
LAKE GENEVA, WI
ZIP 53147
Phone: (262) 245-0535
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Deborah Lynn Young, APRN, FNP is a family nurse practitioner in Lake Geneva, WI with 7 years of experience. Deborah Lynn Young, APRN, FNP NPI is 1730615030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N2950 STATE ROAD 67
LAKE GENEVA, WI
ZIP 53147-655
Phone: (262) 245-0535

The NPI 1730615030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 12/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		143335-30	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	7664-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APPROVED	OTHER	IL	BCBS IL PPO
2	1730615030	OTHER	WISCONSIN	BCBSWI
3	1730615030	MEDICAID	WISCONSIN
4	K400399977	OTHER	WISCONSIN	WI MEDICARE
5	700332	OTHER	WISCONSIN	MERCYCARE INSURANCE
6	F400420519	OTHER	ILLINOIS	IL MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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