Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YOUNG NAM MIN, AGPCNP-BC
Active Sole ProprietorYOUNG NAM MIN, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in CENTREVILLE, Virginia. NPI 1861221715 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · CENTREVILLE, VA
Registration Details
- NPI Number
- 1861221715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2024 (2.0059843598435 yrs)
- Last Updated
- Jul 30, 2024
- License
-
0024189424 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13880 BRADDOCK RD STE 107CENTREVILLE, VA, 201212460Browse VA providers · Browse ZIP 20121
- Phone
- 7039650180
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.