Provider Demographics
NPI:1760499040
Name:WRIGHT, CHERIE P (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 IVY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1840
Mailing Address - Country:US
Mailing Address - Phone:703-632-3474
Mailing Address - Fax:
Practice Address - Street 1:RANGE RD
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22135-0001
Practice Address - Country:US
Practice Address - Phone:703-632-3474
Practice Address - Fax:703-632-3487
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165301363LF0000X
MSR879247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS9952240OtherAETNA
MS00274899Medicaid
MS302I505868Medicare PIN
MS00274899Medicaid