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Individual
WENDY D YOUNG
Active
Individual
WENDY D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
503100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002722901
—
TX
01
—
002723702
CSHCN TPI
TX
01
—
00N47F
MEDICARE GROUP PIN
TX
01
—
10027561
AMERIGROUP PIN
TX
01
—
137345809
MEDICAID GROUP TPI
TX
01
—
140442853
CSHCN GROUP TPI
TX
01
—
1447220850
GRP NPI NUMBER
—
01
—
1856784
UHC PIN
TX
Enumeration date
12/13/2006
Last updated
05/18/2010
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