MARYN LYNNA YOUNG FNP-BC PMHNP-BC NPI 1073089439

NPI Information

NPI: 1073089439
Provider Name: MARYN LYNNA YOUNG, FNP-BC, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
510 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 476-7200
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Maryn Lynna Young, FNP-BC, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fargo, ND with 3 years of experience. Maryn Lynna Young, FNP-BC, PMHNP-BC NPI is 1073089439. 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:

510 4TH ST S
FARGO, ND
ZIP 58103-914
Phone: (701) 476-7200

The NPI 1073089439 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 10/23/2018 and was last updated on 6/20/2022.

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	363LF0000X	Nurse Practitioner	Family	95009992	CALIFORNIA	No
2	163W00000X	Registered Nurse		829828	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R46797	NORTH DAKOTA	Yes

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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