Individual
STEPHANIE ROSE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 243-1408
Mailing address
4100 ALEAN RD, BOONES MILL, VA 24065-4998
(540) 243-1408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001231430
VA
363L00000X
Nurse Practitioner
Primary
0024178476
VA
363LA2100X
Acute Care Nurse Practitioner
0024178476
VA
Other
Enumeration date
10/24/2019
Last updated
12/13/2023
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