MEDICARE: AISHA SIERA WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	10022164	PA

General Provider Information

NPI Number	:	1093300907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA SIERA WRIGHT

Provider Business Mailing Address
First Line	:	744 GILBERT PL
Second Line	:
City	:	TRAPPE
State	:	PA
Zip	:	19426-2259
Country	:	US
Telephone Number	:	215-252-6881
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 LAFAYETTE CT
Second Line	:
City	:	TRAPPE
State	:	PA
Zip	:	19426-2232
Country	:	US
Telephone Number	:	215-252-6881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2021

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Directions to “ AISHA SIERA WRIGHT ” Practice Location

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