Individual provider · Type 1 NPI
Thomas P. Young Iii, PhD, NP
Adult Health Nurse Practitioner · Santa Rosa, CA
NPI number
1689797029
Active
Practice location
830 2nd St Ste A
Santa Rosa, CA 95404-4620
Fax (415) 895-1288
Mailing address
550 Richmond Dr
Santa Rosa, CA 95401-3618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 7662 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | 349096 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1689797029
Thomas P. Young Iii, PhD, NP's National Provider Identifier is 1689797029, issued on Apr 9, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 24, 2025.