Individual provider · Type 1 NPI

Mikayla Beth Young, CPNP-PC

Pediatric Nurse Practitioner · Morgantown, WV

NPI number 1750119962 Active

Practice location

1 Stadium Dr
Morgantown, WV 26506-7900

Mailing address

1602 Price St
Fairmont, WV 26554-9237

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X109603 (WV)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1750119962

Mikayla Beth Young, CPNP-PC's National Provider Identifier is 1750119962, issued on Jul 22, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Morgantown, WV. The record was last updated on Jul 22, 2024.