Provider Demographics
NPI:1881481604
Name:WRIGHT, LIBBIE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:LIBBIE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 TREBOY AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1149
Mailing Address - Country:US
Mailing Address - Phone:804-370-6796
Mailing Address - Fax:
Practice Address - Street 1:1506 TREBOY AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1149
Practice Address - Country:US
Practice Address - Phone:804-370-6796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001304134163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant