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NPI Code Detail

MEDICARE: MIAYA WRIGHT R.N

MEDICARE:   MIAYA  WRIGHT  R.N
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1205249315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIAYA WRIGHT R.N
Provider Business Mailing Address
First Line : 8892 OCEANSIDE SLOPES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-7524
Country : US
Telephone Number : 702-509-3494
Fax Number : 702-802-4898
Provider Business Practice Location Address
First Line : 8892 OCEANSIDE SLOPES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-7524
Country : US
Telephone Number : 702-509-3494
Fax Number : 702-802-4898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2014
Last Update Date : 06/05/2014

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