Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | ME 72221 | FL |
NPI | 1134144272 |
---|---|
Provider Name | Dr. Nancy M. Wright |
First Address | Tallahassee, FL 32308-5470 |
Second Address | Tallahassee, FL 32308-5470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000780447B | (05) | GA |
000780447C | (05) | GA |
251486900 | (05) | FL |