Individual
SHANNEN MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2665
Mailing address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2665
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
657505
TX
Other
Enumeration date
12/28/2005
Last updated
10/18/2010
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