Provider Demographics
NPI:1437930757
Name:WRIGHT, PAMELA
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4593 STATE ROUTE 350
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45146-3314
Mailing Address - Country:US
Mailing Address - Phone:937-971-0127
Mailing Address - Fax:
Practice Address - Street 1:4593 STATE ROUTE 350
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45146-3314
Practice Address - Country:US
Practice Address - Phone:937-971-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker