Young, Wanda Renee

Young, Wanda Renee is an individual health care provider with primary practice located at 3295 Fm 3514 , Beaumont TX 77705-7655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Young, Wanda Renee can be contacted via phone (409) 727-8400.

Contact Information

Primary practice address
3295 Fm 3514 Beaumont TX 77705-7655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 544145 Texas

Profile Details

NPI number 1033638333
LBN Legal business name Young, Wanda Renee
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2017
Last updated Sep 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033638333 NPPES
Other 00000000 NONE

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