Healthcare Provider Details

I. General information

NPI: 1144646977
Provider Name (Legal Business Name): APRIL TIFFANY WRIGHT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 09/02/2026
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 WOODLAND AVE
PHILADELPHIA PA
19104-4551
US

IV. Provider business mailing address

6607 QUINCY ST
PHILADELPHIA PA
19119-2719
US

V. Phone/Fax

Practice location:
  • Phone: 215-823-5800
  • Fax: 215-823-6312
Mailing address:
  • Phone: 267-270-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012127
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA003260
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056750
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: