1639493851 NPI number — MS. NORMA JEAN YOUNG RN

Table of content: MS. NORMA JEAN YOUNG RN (NPI 1639493851)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639493851 NPI number — MS. NORMA JEAN YOUNG RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YOUNG
Provider First Name:
NORMA JEAN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639493851
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
FOH HEALTH CLINIC A2H
Provider Second Line Business Mailing Address:
FEMA AT CRYSTAL CITY, 1800 SOUTH BELL STREET, ROOM 541
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20598-3010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-212-2199
Provider Business Mailing Address Fax Number:
703-605-0578

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FOH HEALTH CLINIC A2H
Provider Second Line Business Practice Location Address:
FEMA AT CRYSTAL CITY, 1800 SOUTH BELL STREET, ROOM 541
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20598-3010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-212-2199
Provider Business Practice Location Address Fax Number:
703-605-0578
Provider Enumeration Date:
03/17/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  0001105785 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163W00000X , with the licence number: RN46370 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)