Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 20201 | NE |
NPI | 1275607608 |
---|---|
Provider Name | Dr. Rhonda R Wright |
First Address | Omaha, NE 68114-4113 |
Second Address | Omaha, NE 68114-4113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31295 | BCBS (01) | NE |
8499 | MIDLANDS CHOICE (01) | |
934307 | (05) | IA |
96466 | BCBS (01) | IA |
G42632 | (02) |