Provider Demographics
NPI:1255729513
Name:WRIGHT, OLIVIA HOPE (NP-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:HOPE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RICE MINE ROAD LOOP STE 206
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2418
Mailing Address - Country:US
Mailing Address - Phone:205-339-0171
Mailing Address - Fax:205-333-8681
Practice Address - Street 1:100 RICE MINE ROAD LOOP STE 206
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2418
Practice Address - Country:US
Practice Address - Phone:205-339-0171
Practice Address - Fax:229-242-6151
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3-000805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003160549AMedicaid
GA10250I6737Medicare PIN