Provider Demographics
NPI:1831734250
Name:WRIGHT, BRITTANY THERESA (PA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:THERESA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4059
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07474-4059
Mailing Address - Country:US
Mailing Address - Phone:973-826-8291
Mailing Address - Fax:
Practice Address - Street 1:235 E PRINCETON ST STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5553
Practice Address - Country:US
Practice Address - Phone:407-303-1380
Practice Address - Fax:407-303-1385
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant