Provider Demographics
NPI:1093300907
Name:WRIGHT, AISHA SIERA
Entity Type:Individual
Prefix:
First Name:AISHA
Middle Name:SIERA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 GILBERT PL
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2259
Mailing Address - Country:US
Mailing Address - Phone:215-252-6881
Mailing Address - Fax:
Practice Address - Street 1:102 LAFAYETTE CT
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-2232
Practice Address - Country:US
Practice Address - Phone:215-252-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10022164376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide