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Individual
BREEANNA M WRIGHT
Active
Individual
BREEANNA M WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002693A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220051
MEDICARE PTAN
IN
01
—
264430A94
MEDICARE PTAN
IN
05
—
300034042
—
IN
Enumeration date
09/06/2019
Last updated
09/27/2023
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