Provider Demographics
NPI:1740599943
Name:YOUNGER, AMANDA HOPE (CNM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:HOPE
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:Y
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-7680
Mailing Address - Fax:704-316-7106
Practice Address - Street 1:14330 OAKHILL PARK LN STE 200
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3407
Practice Address - Country:US
Practice Address - Phone:704-316-4830
Practice Address - Fax:704-316-4831
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC461367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife