Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN2260609 | MA |
NPI | 1043704265 |
---|---|
Provider Name | Mrs. Danielle Kathleen Wright |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605-2726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2018 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110160437A | (05) | MA |