Provider Demographics
NPI:1184045957
Name:YOUNG, BRANDY STROUP (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:STROUP
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 OLD RIDGE RD N
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-1951
Mailing Address - Country:US
Mailing Address - Phone:334-391-7728
Mailing Address - Fax:
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-391-7728
Practice Address - Fax:334-834-8347
Is Sole Proprietor?:No
Enumeration Date:2013-12-21
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-105210163W00000X
ALF0612235363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-105210OtherALABAMA BOARD OF NURSING LICENSE