Provider Demographics
NPI:1285853556
Name:DWAN-WRIGHT, ALLISON MARY (RN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARY
Last Name:DWAN-WRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARY
Other - Last Name:DWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:707 BENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2210
Mailing Address - Country:US
Mailing Address - Phone:410-729-9177
Mailing Address - Fax:
Practice Address - Street 1:7922 OUTING AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1415
Practice Address - Country:US
Practice Address - Phone:410-437-5512
Practice Address - Fax:410-360-1511
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR147138163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR147138OtherR.N LICENCE