Individual provider · Type 1 NPI

Mary Grace Liberatore Young

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1003785775 Active

Practice location

825 Fairfax Ave
Norfolk, VA 23507-1914

Call (757) 466-5600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003785775

Mary Grace Liberatore Young's National Provider Identifier is 1003785775, issued on Nov 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Nov 7, 2025.