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YOUNG NAM MIN AGPCNP-BC
NPI 1861221715
Nurse Practitioner - Gerontology in Centreville, VA

Active since July 30, 2024
13880 BRADDOCK RD STE 107, CENTREVILLE, VA 20121(703) 965-0180 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Young Nam Min Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG NAM MIN AGPCNP-BC (NPI 1861221715) is an individual gerontology provider in Centreville, Virginia, licensed in Virginia (0024189424) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1861221715
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameYOUNG NAM MINCredential: AGPCNP-BC
Location Address13880 BRADDOCK RD STE 107Centreville, VA 20121-2460
Mailing Address4477 Shady Point PlChantilly, VA 20151-2243 · (703) 283-5951
Phone(703) 965-0180
Sole ProprietorYes
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1861221715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024189424
13880 BRADDOCK RD STE 107, Centreville, VA 20121
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUGKEE YOUN M.D.
Internal Medicine (Nephrology)
13880 BRADDOCK RD STE 107
CENTREVILLE, VA 20121
Fairfax County (703) 965-0180
CENTREVILLE INTERNAL MEDICINE
Clinic/Center (Adult Day Care)
13880 BRADDOCK RD STE 107
CENTREVILLE, VA 20121
Fairfax County (703) 965-0180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Min's NPI number?

The NPI number for Young Min is 1861221715. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Young Min located?

Young Min practices at 13880 Braddock Rd Ste 107, Centreville, VA 20121. The listed phone number is (703) 965-0180.

What is Young Min's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Young Min was last updated on July 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.