Whalio Doctors

NPI 1013340702

Nicole Ann Marie Young, RDH

Practitioner Dental Hygienist Payette, ID

Practice location

Address
1441 NE 10th Ave, Payette, ID 83661-5420
Phone
(208) 642-9376
Fax
(208) 642-9598

Registered specialties (2)

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H5241 (OR)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence DH2488 (ID)

Registry record

NPI
1013340702
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Aug 2013
Record last updated
16 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.