Provider Demographics
NPI:1831796531
Name:WRIGHT, ALISHA CHRISTINE
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:CHRISTINE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-2247
Mailing Address - Country:US
Mailing Address - Phone:315-254-5338
Mailing Address - Fax:
Practice Address - Street 1:142 SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13207-2247
Practice Address - Country:US
Practice Address - Phone:315-254-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty