Provider Demographics
NPI:1407625734
Name:WRIGHT, NYEEMA (CLC, CLD)
Entity Type:Individual
Prefix:
First Name:NYEEMA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CLC, CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 XIMENO AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1744
Mailing Address - Country:US
Mailing Address - Phone:562-726-0265
Mailing Address - Fax:
Practice Address - Street 1:3491 CAHUENGA BLVD W # A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1338
Practice Address - Country:US
Practice Address - Phone:818-431-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula