Most Relevant Information
Provider Data
| NPI Number: | 1003654971 |
| Provider Name: | NICOLE ANN YOUNG PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2024 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
19801 OBSERVATION DR
GERMANTOWN
MD
208764070
Practice Location Phone/Fax
| Phone: | 3015576000 |
| Fax: |
Provider Mailing Location
19801 OBSERVATION DR
GERMANTOWN
MD
208764070
Provider Mailing Phone/Fax
| Phone: | 3015576000 |
| Fax: |