Audrey M Young in Medford - Nutrition, Pediatric
Audrey M Young - NPI 1881815751
Audrey M Young is a Nutrition, Pediatric in Medford, Massachusetts. Audrey M Young practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Audrey M Young is 1881815751. The last update date is 2022-12-22.
Audrey M Young's current location address is Mystic Healthcare, Medford, Massachusetts. You can contact this provider via phone number 7813954761 and fax number 7813955081. The mailing address for Audrey M Young is Mystic Healthcare, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey M Young |
|---|---|
| Address | Mystic Healthcare, Medford, Massachusetts |
| Phone Number | 7813954761 |
| Fax Number | 7813955081 |
| Sole Proprietor | N |
| Credentials | RD, LDN, C |
NPI Number Detail
| NPI Number | 1881815751 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-12-22 |
Provider Mailing Address Detail
| Address | Mystic Healthcare |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 1255 |
| Phone Number | 7813954761 |
| Fax Number | 7813955081 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 901 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376201 | MA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Audrey M Young by the Centers for Medicare & Medicaid Services?
The Audrey M Young has been issued the NPI (National Provider Identifier) 1881815751, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Audrey M Young is physically located?
The Audrey M Young is physically situated at the following address: Mystic Healthcare, Medford, MA, 1255.
What is the Audrey M Young's area of specialization and corresponding taxonomy classification?
The Audrey M Young's specialty field is Nutrition, Pediatric, and it falls under the taxonomy code 133Vn1004X, which categorizes healthcare providers based on their specialties.
On what date did Audrey M Young receive its 1881815751 assignment from the Centers for Medicare & Medicaid Services?
The Audrey M Young was assigned its 1881815751 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Audrey M Young's information last updated?
The Audrey M Young's information was last updated on 2022-12-22.
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