Provider Demographics
NPI:1780348326
Name:WRIGHT, ANNIE TAMAYO (APRN PNP-PC)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:TAMAYO
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN PNP-PC
Other - Prefix:MS
Other - First Name:ANNIE
Other - Middle Name:NICHOLE
Other - Last Name:TAMAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CPNP-PC
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3395
Mailing Address - Fax:816-302-9624
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3395
Practice Address - Fax:816-302-9624
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007029225163WP0200X
KS5380216091363LP0200X
MO2021016502363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics