Young, Wava C

Young, Wava C is an individual health care provider with primary practice located at 1134 N Main St , Bellefontaine OH 43311. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Young, Wava C can be contacted via phone (937) 651-6820.

Contact Information

Primary practice address
1134 N Main St Bellefontaine OH 43311
Phone: (937) 651-6820
Fax: (937) 651-6822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.251868-COA1 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.12987-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.12987 Ohio

Profile Details

NPI number 1710257167
LBN Legal business name Young, Wava C
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated May 24th, 2018 - about 8 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 1710257167 NPPES
Ohio MEDICAID 0061533

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