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Individual

ILEEN MARIE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
VA GLA HEALTHCARE SYSTEM 11301 WILSHIRE BLVD., 11301 WILSHIRE BLVD., LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
410 S BARRINGTON AVE, #402, LOS ANGELES, CA 90049-6436
(310) 478-3711

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
24
NC
364S00000X
Clinical Nurse Specialist
058907
MO
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
058907
MO

Other

Enumeration date
08/19/2006
Last updated
07/11/2007
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