Colleen Marie Young, RN
Individual provider Active NPI School Registered Nurse · Markleeville, CA
NPI 1750197760 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1750197760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 825903 (CA)
- Practice address
- 35 Hawkside Dr
Markleeville, CA 96120-9522 - Phone
- (530) 694-2239
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825903 | CA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 825903 | CA | Yes |
Addresses
Primary practice location
35 Hawkside Dr
Markleeville, CA 96120-9522
Mailing address
35 Hawkside Dr
Markleeville, CA 96120-9522
Phone (530) 694-2239
Other providers in Markleeville, CA
All providers in Markleeville, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.