SearchWisconsin3747P1801X

Debra Young, LPN,CCMA, NA

NPI 1992215289 · on the registry since 2017

Practice

Address
12234 W Dearbourn Ave
Wauwatosa, WI 53226
Phone
(414) 839-1363
Fax
(414) 800-4213

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
164W00000X
164W00000X
164X00000X
374U00000X
376K00000X
Licence states on file
IL, MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin