Provider Demographics
NPI:1255938346
Name:WRIGHT, KRISTEN CHRISTENE (LVN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:CHRISTENE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 BRAD CIR
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-6259
Mailing Address - Country:US
Mailing Address - Phone:903-574-1850
Mailing Address - Fax:
Practice Address - Street 1:906 BRAD CIR
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-6259
Practice Address - Country:US
Practice Address - Phone:903-574-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1008965164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse