Most Relevant Information
Provider Data
| NPI Number: | 1003055294 |
| Provider Name: | THERESA ANNE YOUNG RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R054148 |
Most Important Dates
| Enumeration Date: | 02/11/2009 |
| Last Updated: | 02/11/2009 |
Provider Practice Location
360 BROADWAY
BANGOR
ME
044013979
Practice Location Phone/Fax
| Phone: | 2075254526 |
| Fax: |
Provider Mailing Location
71 ADAMS RD
FRANKFORT
ME
044383331
Provider Mailing Phone/Fax
| Phone: | 2075254526 |
| Fax: |