MEDICARE: KENDRA J YOUNKER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	SP018902	PA

General Provider Information

NPI Number	:	1881173136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA J YOUNKER CRNP

Provider Business Mailing Address
First Line	:	230 W WASHINGTON SQ
Second Line	:	FL 3
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3500
Country	:	US
Telephone Number	:	215-829-5064
Fax Number	:	215-829-3081

Provider Business Practice Location Address
First Line	:	230 W WASHINGTON SQ
Second Line	:	FL 3
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3500
Country	:	US
Telephone Number	:	215-829-5064
Fax Number	:	215-829-3081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2018
Last Update Date	:	01/21/2026

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