Individual
WENDI D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(046) 662-0875
Mailing address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(046) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
308964
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6015
NC
367500000X
Certified Registered Nurse Anesthetist
9265693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890200H
—
NC
Enumeration date
03/19/2008
Last updated
08/24/2020
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