Individual
MRS. TERESA MAY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1912 PENILE RD, VALLEY STATION, KY 40272
(502) 836-6573
Mailing address
1912 PENILE RD, VALLEY STATION, KY 40272-2120
(502) 836-6573
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013455000
—
KY
Enumeration date
08/31/2006
Last updated
12/08/2019
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