MRS. MARNI LYNN YOUNG (NPI# 1790832319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790832319 |
| Entity Type | Individual |
| Full Name | MRS. MARNI LYNN YOUNG |
| Credential | NP |
| Practice Address |
24211 Little Mack Ave Saint Clair Shores MI 48080-1151 |
| Mailing Address |
221 Cloveridge Dr Troy MI 48084-5445 |
| Practice Telephone | 5864980440 |
| Practice Fax Number | 5864980401 |
| Mailing Telephone | 2483626985 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704205180 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24211 LITTLE MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669760070 | Fatme Barakat Coba | Nurse Practitioner | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2011-07-19 |
| 1306963335 | David Jose Rodriguez | Internal Medicine | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2007-03-23 |
| 1730232463 | Michelle Lynn Sloan | Nurse Practitioner | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2007-01-18 |
| 1093871642 | Paula Monique Lepler | Registered Nurse | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2006-12-28 |
| 1548325186 | Rudy J Vervaeke Md Plc | Internal Medicine | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2006-12-26 |
| 1770515504 | Edouard R. Daher | Internal Medicine | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699296772 | Lance Raymond Woody | Nurse Practitioner | 22622 Oconnor St, Saint Clair Shores, MI 48080-4122 | 2017-06-29 |
| 1629133301 | Maria Gloria Pigon Schneider | Nurse Practitioner | 21631 Edmunton St, Saint Clair Shores, MI 48080-2314 | 2006-12-24 |
| 1629581970 | Caitlin Marie Kelly | Nurse Practitioner | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 2017-11-08 |
| 1669760070 | Fatme Barakat Coba | Nurse Practitioner | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2011-07-19 |
| 1134435878 | Kianna Michelle Lyons | Nurse Practitioner | 28963 Little Mack Ave, 101, Saint Clair Shores, MI 48081-3017 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.