Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 201250194NP | OR |
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP60317794 | WA |
NPI | 1144596719 |
---|---|
Provider Name | Tiffany L. Wright |
First Address | Richland, WA 99352-9532 |
Second Address | Richland, WA 99352-3514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 28/02/2020 |