Individual
YAEWOON SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 LAMOND AVE STE A, DURHAM, NC 27701-2074
(919) 587-8018
(919) 275-5552
Mailing address
110 IOWA LN STE 204, CARY, NC 27511-2400
(336) 314-5687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
333852
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022613
NC
Other
Enumeration date
11/30/2023
Last updated
04/21/2026
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