Provider Demographics
NPI:1982821849
Name:WRIGHT, ANGELIA COLLINS (RD, CSP, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:COLLINS
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RD, CSP, LDN
Other - Prefix:MRS
Other - First Name:ANGEL
Other - Middle Name:C
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CSP, LDN
Mailing Address - Street 1:918 KINGSCOTE CT
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5611
Mailing Address - Country:US
Mailing Address - Phone:727-725-7743
Mailing Address - Fax:
Practice Address - Street 1:801 6TH ST S
Practice Address - Street 2:DEPT OF NUTRITIONAL SERVICES
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4816
Practice Address - Country:US
Practice Address - Phone:727-898-7451
Practice Address - Fax:727-892-4399
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 3236133V00000X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Not Answered133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric