Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP118767 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | 82743 | OK |
NPI | 1043443062 |
---|---|
Provider Name | Ms. Angela Renee Wright |
First Address | Sherman, TX 75092 |
Second Address | Sherman, TX 75092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TXB119566 | MEDICARE PTAN (01) | TX |