Individual
TIERRA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HIGH VIEW DR, HENDERSON, NV 89014-0503
(630) 728-8505
Mailing address
6639 S INGLESIDE AVE, CHICAGO, IL 60637-4265
(630) 728-8505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
814846
NV
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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