Provider Demographics
NPI:1134201759
Name:WRIGHT, JOAN C (RNFA)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 PAWNEE PATH
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-5529
Mailing Address - Country:US
Mailing Address - Phone:813-681-4748
Mailing Address - Fax:813-655-7010
Practice Address - Street 1:4406 PAWNEE PATH
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-5529
Practice Address - Country:US
Practice Address - Phone:813-681-4748
Practice Address - Fax:813-655-7010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1215062163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant