Provider Demographics
NPI:1154875045
Name:WRIGHT, DARLYNN LAVERN (RN)
Entity type:Individual
Prefix:MS
First Name:DARLYNN
Middle Name:LAVERN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DARLYNN
Other - Middle Name:LAVERN
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4410 6TH AVE SE
Mailing Address - Street 2:APT 318
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1064
Mailing Address - Country:US
Mailing Address - Phone:360-791-0611
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR
Practice Address - Street 2:9040 JACKSON AVE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-3869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN.RN00093059163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse