Provider Demographics
NPI:1134986623
Name:WRIGHT, ANDREA MARGARET
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARGARET
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45775-0052
Mailing Address - Country:US
Mailing Address - Phone:740-742-2660
Mailing Address - Fax:
Practice Address - Street 1:154 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:OH
Practice Address - Zip Code:45775-8000
Practice Address - Country:US
Practice Address - Phone:740-742-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide