Most Relevant Information
Provider Data
| NPI Number: | 1003479890 |
| Provider Name: | NATHAN YOUNT |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 198788 |
Most Important Dates
| Enumeration Date: | 04/17/2019 |
| Last Updated: | 07/22/2019 |
Provider Practice Location
1600 LAKELAND HILLS BLVD.
LAKELAND
FL
338053380
Practice Location Phone/Fax
| Phone: | 8636807830 |
| Fax: | 8662648519 |
Provider Mailing Location
1600 LAKELAND HILLS BLVD.
LAKELAND
FL
338053019
Provider Mailing Phone/Fax
| Phone: | 8636807830 |
| Fax: | 8662648519 |