Provider Demographics
NPI:1588277529
Name:YOUNG, TAUNA MARIE (FNP)
Entity type:Individual
Prefix:
First Name:TAUNA
Middle Name:MARIE
Last Name:YOUNG
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 E TARPON DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-9007
Mailing Address - Country:US
Mailing Address - Phone:208-918-2525
Mailing Address - Fax:800-310-6851
Practice Address - Street 1:2965 E TARPON DR STE 110
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-9007
Practice Address - Country:US
Practice Address - Phone:208-918-2525
Practice Address - Fax:800-310-6851
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID65111363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily