Provider Demographics
NPI:1013000579
Name:WRIGHT, BESSIE ELLEN (ARNP)
Entity Type:Individual
Prefix:
First Name:BESSIE
Middle Name:ELLEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 HOSPITAL ROAD
Mailing Address - Street 2:214 HOSPITAL ROAD
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858
Mailing Address - Country:US
Mailing Address - Phone:606-633-3500
Mailing Address - Fax:606-633-5656
Practice Address - Street 1:214 HOSPITAL ROAD
Practice Address - Street 2:214 HOSPITAL ROAD
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858
Practice Address - Country:US
Practice Address - Phone:606-633-3500
Practice Address - Fax:606-633-5656
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3847P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
0264721Medicare ID - Type Unspecified