Provider Demographics
NPI:1285783878
Name:YONGE, DENISE CHAMPAGNE (RN, MSN,CS)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:CHAMPAGNE
Last Name:YONGE
Suffix:
Gender:F
Credentials:RN, MSN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 S BAY ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2403
Mailing Address - Country:US
Mailing Address - Phone:251-943-3336
Mailing Address - Fax:251-943-2303
Practice Address - Street 1:1411 S BAY ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2403
Practice Address - Country:US
Practice Address - Phone:251-943-3336
Practice Address - Fax:251-943-2303
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-041555364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult