Doctor Name: | VIRGINA WRIGHT |
NPI Number: | 1881070829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 693012 |
Business Practice Address: | 1619 4th Ave Canyon, TX - 790153824 |
Business Phone Number: | 8065574674 |
Business Fax Number: | 8065574165 |
Mailing Address: | 3440 Bell St, Unit 122 AMARILLO |
State: | TX |
Postal Code: | 791094100 |
Phone Number: | 8063799225 |
Fax Number: | 8063314497 |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 693012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |