Individual
APRIL TIFFANY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-6312
Mailing address
6607 QUINCY ST, PHILADELPHIA, PA 19119-2719
(267) 270-7211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0012127
DE
363AM0700X
Medical Physician Assistant
Primary
MA056750
PA
363AM0700X
Medical Physician Assistant
OA003260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103155969
—
PA
Enumeration date
03/18/2014
Last updated
11/29/2024
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