Provider Demographics
NPI:1063569952
Name:WRIGHT, LANIKA LENNEE (WHNP)
Entity type:Individual
Prefix:MRS
First Name:LANIKA
Middle Name:LENNEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1206 ALLEN RD APT D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8234
Mailing Address - Country:US
Mailing Address - Phone:252-328-6841
Mailing Address - Fax:252-328-4007
Practice Address - Street 1:EAST CAROLINA UNIVERISTY
Practice Address - Street 2:1001 EAST 5TH STREET
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:252-328-6841
Practice Address - Fax:252-328-4007
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC940107363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ42275Medicare UPIN