Provider Demographics
NPI:1417506635
Name:YOUNGER, DEBORAH K
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13833 VILLAGE MILL DR
Mailing Address - Street 2:
Mailing Address - City:MAUGANSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21767-9748
Mailing Address - Country:US
Mailing Address - Phone:301-790-1020
Mailing Address - Fax:
Practice Address - Street 1:13833 VILLAGE MILL DR
Practice Address - Street 2:
Practice Address - City:MAUGANSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21767-9748
Practice Address - Country:US
Practice Address - Phone:301-790-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker