Provider Demographics
NPI:1972674828
Name:YOUNG, WENDY RIVA (RN, MS(N), FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:RIVA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RN, MS(N), FNP-BC
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Mailing Address - Street 1:PO BOX 7407
Mailing Address - Street 2:ATTENTION: ACCOUNTING UNIT
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-7407
Mailing Address - Country:US
Mailing Address - Phone:828-250-5000
Mailing Address - Fax:828-250-6165
Practice Address - Street 1:40 COXE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3308
Practice Address - Country:US
Practice Address - Phone:828-250-5000
Practice Address - Fax:828-250-6165
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2012-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC134609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7005208Medicaid
NC7005208Medicaid