Individual
DR. MARY CATHERINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 MERIDAN ST, MORGANTOWN, WV 26505
(304) 542-2512
Mailing address
532 MERIDAN ST, MORGANTOWN, WV 26505-2318
(304) 542-2512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
64086
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN64086CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026331
—
WV
Enumeration date
06/12/2013
Last updated
05/18/2018
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