Individual provider · Type 1 NPI

Tara Noel Young-Hodge, NP

Pediatric Nurse Practitioner · Charleston, WV

NPI number 1821234832 Active

Practice location

800 Pennsylvania Ave
Charleston, WV 25302-3351

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X48799 (WV)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821234832

Tara Noel Young-Hodge, NP's National Provider Identifier is 1821234832, issued on Dec 22, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, WV. The record was last updated on Jul 10, 2009.