Provider Demographics
NPI:1164405676
Name:WRIGHT, LORIEANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:LORIEANN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 SHRINE RD STE A
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4357
Mailing Address - Country:US
Mailing Address - Phone:912-264-6303
Mailing Address - Fax:912-264-6323
Practice Address - Street 1:3222 SHRINE RD STE A
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4357
Practice Address - Country:US
Practice Address - Phone:912-264-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN069827363LF0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA624076OtherBLUE SHIELD
GA500011242OtherRAILROAD MEDICARE
GA624076OtherBLUE SHIELD