TARRA DENISE YOUNG (NPI# 1760036909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760036909 |
| Entity Type | Individual |
| Full Name | TARRA DENISE YOUNG |
| Credential | FNP-C |
| Practice Address |
269 S Candy Ln Cottonwood AZ 86326-4158 |
| Practice Telephone | 9286352251 |
| Mailing Telephone | 9286342251 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
229942 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
269 S CANDY LN |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345383 | Eugene M.r. Charlebois | Emergency Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-06-08 |
| 1306463740 | Riley Benjamin Johnson | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-07-01 |
| 1821619891 | Joshua Thomas Haywood | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-30 |
| 1396364162 | Jeremy Schmoyer | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-13 |
| 1144849993 | Miranda Rose Anderson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-12 |
| 1659900876 | Eddie Khav | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2020-04-08 |
| 1790314961 | Michelle Anne Pope | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-08 |
| 1699320390 | Emily Kathryn Danca | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-08-08 |
| 1275195950 | Samer Saeed Hasson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-02 |
| 1962062455 | Juan Pablo Vargas | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515835 | Kimberly A Callahan | Nurse Practitioner | 401 S Calvary Way Ste B, Cottonwood, AZ 86326-4165 | 2008-07-15 |
| 1306460159 | Jordy Weaver | Nurse Practitioner | 214 S Main St, Cottonwood, AZ 86326-3907 | 2020-06-07 |
| 1922653344 | Justine Winchester | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2019-08-02 |
| 1174063861 | Mark Hughes | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326 | 2017-03-01 |
| 1821532987 | Michele Ayotte | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2016-12-08 |
| 1215470885 | Angie Coil Fnp Pllc | Nurse Practitioner | 203 S Candy Ln, Suite 13ab, Cottonwood, AZ 86326-4120 | 2016-11-29 |
| 1124576434 | Tish Ann Arwine | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2016-09-15 |
| 1700247509 | Angie Coil | Nurse Practitioner | 203 S Candy Ln, Bldg 13ab, Cottonwood, AZ 86326-4120 | 2016-03-08 |
| 1659776169 | Claudia Gine Converse | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-10-27 |
| 1740626472 | Helen Yongao Williams | Nurse Practitioner | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2013-05-21 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.