Provider Demographics
NPI:1639165137
Name:WRIGHT, BEVERLY FAYE (CFNP)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:FAYE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MRS
Other - First Name:BEVERLY
Other - Middle Name:WRIGHT
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:26079 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7501
Mailing Address - Country:US
Mailing Address - Phone:276-739-2283
Mailing Address - Fax:276-619-2495
Practice Address - Street 1:26079 LEE HWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7501
Practice Address - Country:US
Practice Address - Phone:276-739-2283
Practice Address - Fax:276-619-2495
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024073859174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist