Healthcare Provider Details

I. General information

NPI: 1235061094
Provider Name (Legal Business Name): MICHELE RENEE HILL-WRIGHT LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2642 VIRGINIA AVE
HURRICANE WV
25526-1121
US

IV. Provider business mailing address

2642 VIRGINIA AVE
HURRICANE WV
25526-1121
US

V. Phone/Fax

Practice location:
  • Phone: 304-720-0262
  • Fax: 304-720-0262
Mailing address:
  • Phone: 304-720-0262
  • Fax: 304-720-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number33988
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: