Provider Demographics
NPI:1467264861
Name:WRIGHT, AMANDA (RN,BSN)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-4842
Mailing Address - Country:US
Mailing Address - Phone:325-658-7750
Mailing Address - Fax:325-481-3291
Practice Address - Street 1:202 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-4842
Practice Address - Country:US
Practice Address - Phone:325-658-7750
Practice Address - Fax:325-481-3291
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690678163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult