Individual provider · Type 1 NPI
Tara Rose Young
Pediatric Nurse Practitioner · Rockford, MI
NPI number
1851128201
Active
Practice location
6444 Los Altos Dr NE
Rockford, MI 49341-8106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704257569 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Rockford
About NPI 1851128201
Tara Rose Young's National Provider Identifier is 1851128201, issued on Sep 18, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rockford, MI. The record was last updated on Sep 18, 2024.