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NPI Code Detail

MEDICARE: PAMELA W WRIGHT NP

MEDICARE:   PAMELA W WRIGHT  NP
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
1363LF0000XFamily Nurse Practitioner0024168909VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11164739751OTHERVAALL INSURERS

General Provider Information

NPI Number : 1164739751
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA W WRIGHT NP
Provider Business Mailing Address
First Line : 18877 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-5223
Country : US
Telephone Number : 276-694-4466
Fax Number : 276-694-2909
Provider Business Practice Location Address
First Line : 18877 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-5223
Country : US
Telephone Number : 276-694-4466
Fax Number : 276-694-2909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2010
Last Update Date : 05/10/2023

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Directions to “ PAMELA W WRIGHT NP” Practice Location

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