Individual
REBECCA GUSMUS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Mailing address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024096876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05381
GROUP PTAN
VA
Enumeration date
02/27/2007
Last updated
08/15/2016
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