Individual
MRS. BREANNA NICOLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-9355
(812) 426-6610
Mailing address
2415 HARMONY WAY, EVANSVILLE, IN 47720-6122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28248503A
RN LICENSE
IN
Enumeration date
05/28/2024
Last updated
09/19/2024
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