Provider Demographics
NPI:1487983425
Name:YOUNG, DEBORA KOIS (CD(DONA), PCD(DONA))
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:KOIS
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CD(DONA), PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 WASHINGTON AVE
Mailing Address - Street 2:PO BOX 336
Mailing Address - City:LOWDEN
Mailing Address - State:IA
Mailing Address - Zip Code:52255-9539
Mailing Address - Country:US
Mailing Address - Phone:563-370-4360
Mailing Address - Fax:
Practice Address - Street 1:805 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LOWDEN
Practice Address - State:IA
Practice Address - Zip Code:52255-9539
Practice Address - Country:US
Practice Address - Phone:563-370-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula