Provider Demographics
NPI:1598069973
Name:WRIGHT, ZACHARY N
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:N
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 SHADY MORNING AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2531
Mailing Address - Country:US
Mailing Address - Phone:702-353-7070
Mailing Address - Fax:702-649-0710
Practice Address - Street 1:317 SHADY MORNING AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2531
Practice Address - Country:US
Practice Address - Phone:702-353-7070
Practice Address - Fax:702-649-0710
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No173C00000XOther Service ProvidersReflexologist
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath