Provider Demographics
NPI:1154765220
Name:WRIGHT, KAREN JEAN (RD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JEAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 VIA DEL CAMPO
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-0940
Mailing Address - Country:US
Mailing Address - Phone:702-521-6406
Mailing Address - Fax:702-547-4029
Practice Address - Street 1:7656 W SAHARA AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2773
Practice Address - Country:US
Practice Address - Phone:702-525-1105
Practice Address - Fax:702-666-8555
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV990819133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVRN32732OtherRN LICENSE
NV32073DI-0OtherREGISTERED DIETITIAN