Provider Demographics
NPI:1275573537
Name:WRIGHT, NATHAN BARRETT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:BARRETT
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2874 WARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893
Mailing Address - Country:US
Mailing Address - Phone:252-291-5600
Mailing Address - Fax:252-291-6935
Practice Address - Street 1:2874 WARD BLVD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-1761
Practice Address - Country:US
Practice Address - Phone:252-291-5600
Practice Address - Fax:252-291-6935
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC132131363AM0700X
NC0010-00382363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical