MRS. LINDA LEE YOUNG LPN
NPI 1548444029
Licensed Practical Nurse in Waterloo, NY

Active since December 20, 2007
910 WATERLOO GENEVA RD, WATERLOO, NY 13165(315) 651-1519 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About LINDA YOUNG

This page provides the complete NPI Profile along with additional information for Linda Young, a provider established in Waterloo, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1548444029 assigned on December 2007. The practitioner's primary taxonomy code is 164W00000X with license number 279003-1 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1548444029 Verify this NPI
Provider Name
MRS. LINDA LEE YOUNG LPN
Other Name
LINDA LEE DERKS LPN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
910 WATERLOO GENEVA RD WATERLOO, NY 13165
Location Phone
(315) 651-1519
Mailing Address
910 WATERLOO GENEVA RD WATERLOO, NY 13165
Mailing Phone
(315) 651-1519
Is Sole Proprietor?
Yes
Enumeration Date
12-20-2007
Last Update Date
12-20-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
279003-1
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548444029, enumerated as an "individual" on December 20, 2007.

The provider is located at 910 WATERLOO GENEVA RD WATERLOO, NY 13165 and the phone number is (315) 651-1519.

Licensed Practical Nurse with taxonomy code 164W00000X.