Provider Demographics
NPI:1417592205
Name:WRIGHT, MORIAH N (APRN)
Entity Type:Individual
Prefix:
First Name:MORIAH
Middle Name:N
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MONTAGUE AVE # 208
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1439
Mailing Address - Country:US
Mailing Address - Phone:864-387-1116
Mailing Address - Fax:
Practice Address - Street 1:2418 HIGHWAY 72 221 E STE N
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-9722
Practice Address - Country:US
Practice Address - Phone:864-387-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-15
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily