Healthcare Provider Details

I. General information

NPI: 1760499040
Provider Name (Legal Business Name): CHERIE P WRIGHT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RANGE RD
QUANTICO VA
22135-0001
US

IV. Provider business mailing address

32 IVY CREEK LN
FREDERICKSBURG VA
22405-1840
US

V. Phone/Fax

Practice location:
  • Phone: 703-632-3474
  • Fax: 703-632-3487
Mailing address:
  • Phone: 703-632-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024165301
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR879247
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: