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NPI Code Detail

MEDICARE: NANNETTE LYNN WRIGHT RN, MSN, ANP-C

MEDICARE: NANNETTE LYNN WRIGHT RN, MSN, ANP-C
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
1363L00000XNurse Practitioner553536TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770542623
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANNETTE LYNN WRIGHT RN, MSN, ANP-C
Provider Business Mailing Address
First Line : PO BOX 823853
Second Line :
City : DALLAS
State : TX
Zip : 75382-3853
Country : US
Telephone Number : 214-215-0845
Fax Number :
Provider Business Practice Location Address
First Line : 8230 WALNUT HILL LN STE 220
Second Line :
City : DALLAS
State : TX
Zip : 75231-4425
Country : US
Telephone Number : 214-750-3646
Fax Number : 214-692-8175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 05/21/2013

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