Individual
MRS. ALISON TANNER WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
171 WAPITI RUN, SWAN VALLEY, ID 83449
(801) 440-1222
Mailing address
PO BOX 204, SWAN VALLEY, ID 83449-0204
(801) 440-1222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53232684405
UT
363LF0000X
Family Nurse Practitioner
Primary
61196
ID
Other
Enumeration date
09/15/2011
Last updated
11/06/2020
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