Stephanie Youngberg, is a
Licensed Practical Nurse based in Stillwater, Minnesota. Stephanie Youngberg is licensed to practice in Minnesota (license number L67905-9) and her current practice location is
11400 Julianne Ave N, Stillwater, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 426-3300.
NPI number for Stephanie Youngberg is 1790078442 and her current mailing address is 530 Spring St Apt B1, Somerset, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790078442.
Provider's Profile
| Full Name | Stephanie Youngberg |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 11400 Julianne Ave N, Stillwater, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790078442
- Provider Enumeration Date: 05/26/2011
- Last Update Date: 05/26/2011
Medical Identifiers
Medical identifiers for Stephanie Youngberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790078442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L67905-9 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Youngberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Youngberg,
530 Spring St Apt B1,
Somerset, WI 54025-9067
Ph: (218) 251-6382 | Stephanie Youngberg,
11400 Julianne Ave N,
Stillwater, MN 55082-9436
Ph: (651) 426-3300 |
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