Healthcare Provider Details

I. General information

NPI: 1740599943
Provider Name (Legal Business Name): AMANDA HOPE YOUNGER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA HOPE YOUNGER CNM

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 GREENWICH RD
CHARLOTTE NC
28211-2313
US

IV. Provider business mailing address

129 GREENWICH RD
CHARLOTTE NC
28211-2313
US

V. Phone/Fax

Practice location:
  • Phone: 704-266-6454
  • Fax:
Mailing address:
  • Phone: 704-266-6454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number461
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: