Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | OS012519 | PA |
NPI | 1013990571 |
---|---|
Provider Name | Michelle Wright |
First Address | Sharon, PA 16146-1503 |
Second Address | Farrell, PA 16121-1576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H14581 | (02) | PA |