Individual
SHAWN BRICE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(888) 329-5701
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7218
(307) 739-7446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25345.0913
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125645900
—
WY
05
—
807012200
—
ID
Enumeration date
06/08/2006
Last updated
11/16/2015
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