| Young Health & Wellness | |
|
3018 E 3300 S Salt Lake City UT 84109-2144 | |
| (801) 815-2967 | |
| Not Available |
| Full Name | Young Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3018 E 3300 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Diane Young (PROVIDER) |
| Authorized Official Contact | 8018152967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Health & Wellness 6321 S Boxwood Rd Salt Lake City UT 84121-2213 Ph: (801) 815-2967 | Young Health & Wellness 3018 E 3300 S Salt Lake City UT 84109-2144 Ph: (801) 815-2967 |
| NPI Number | 1366982522 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 08/10/2017 |
| Medicare PECOS PAC ID | 6507139987 |
|---|---|
| Medicare Enrollment ID | O20170906003634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366982522 | NPI | - | NPPES |
| 1366982522 | Other | UT | PRACTICE NPI |
| 1194122788 | Other | UT | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 53036184405 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5303618-4405 (Utah) | Secondary |
| Provider Name | Diane B Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194122788 PECOS PAC ID: 3779898416 Enrollment ID: I20150811003334 |
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