Individual provider · Type 1 NPI
Debra Rena Young, LPN, CCMA, NA
Personal Care Attendant · Wauwatosa, WI
Practice location
12234 W Dearbourn Ave
Wauwatosa, WI 53226-3842
Fax (414) 800-4213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043133699 (IL) |
| Licensed Practical Nurse | 164W00000X | 824688 (MN) |
| Licensed Vocational Nurse | 164X00000X | 325641 (WI) |
| Home Health Aide | 374U00000X | None listed |
| Nurse's Aide | 376K00000X | 187357 (WI) |
| Personal Care Attendant Primary | 3747P1801X | None listed |
Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
About NPI 1992215289
Debra Rena Young, LPN, CCMA, NA's National Provider Identifier is 1992215289, issued on Oct 2, 2017. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 27, 2023.