Provider Demographics
NPI:1598316564
Name:WRIGHT, ANGELA KAY (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 WISTERIA LN
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63780-1123
Mailing Address - Country:US
Mailing Address - Phone:573-587-0285
Mailing Address - Fax:
Practice Address - Street 1:1314 BRENDA AVE
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-2303
Practice Address - Country:US
Practice Address - Phone:573-517-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019036885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily