Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033489992 |
---|---|
Provider Name | Ms. Nicole Alison Wright |
First Address | North Las Vegas, NV 89032-9041 |
Second Address | North Las Vegas, NV 89032-9041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2012 |
Last Update Date | 10/01/2012 |