Organization Name: | ISLAND HEALTH SERVICES |
NPI Number: | 1902917669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY L WRIGHT (NURSE PRACTICTIONER) |
Mailing Address: | 87 Central Ave Peaks Island |
State: | ME US |
Postal Code: | 041080052 |
Phone Number: | 2077662929 |
Fax Number: | 2077665073 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RO35850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |