Doctor Name: | GWEN F. WRIGHT |
NPI Number: | 1073560371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 16209 |
Business Practice Address: | 218 N Court St Scottsville, KY - 421641434 |
Business Phone Number: | 2702374899 |
Business Fax Number: | 2702374466 |
Mailing Address: | 411 S L Rogers Wells Blvd, GLASGOW |
State: | KY |
Postal Code: | 421411191 |
Phone Number: | 2706517796 |
Fax Number: | 2706517074 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 16209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |