Healthcare Provider Details

I. General information

NPI: 1083218226
Provider Name (Legal Business Name): ERIN WRIGHT BSN, RN, CNOR, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 11/29/2020
Certification Date: 11/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 KATELLA AVE
LOS ALAMITOS CA
90720-3113
US

IV. Provider business mailing address

8809 LOWMAN AVE
DOWNEY CA
90240-2706
US

V. Phone/Fax

Practice location:
  • Phone: 562-598-1311
  • Fax:
Mailing address:
  • Phone: 562-879-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number781982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: