Provider Demographics
NPI:1447804497
Name:WRIGHT, KRYSTAL ANN (FNP)
Entity Type:Individual
Prefix:MISS
First Name:KRYSTAL
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:2855 DENBIGH BLVD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:VA
Practice Address - Zip Code:23692-6501
Practice Address - Country:US
Practice Address - Phone:757-968-5700
Practice Address - Fax:757-968-5717
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001220932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily