Provider Demographics
NPI:1194552638
Name:WRIGHT, MEAGAN PAIGE
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:PAIGE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4759 E 400 RD
Mailing Address - Street 2:
Mailing Address - City:BIG CABIN
Mailing Address - State:OK
Mailing Address - Zip Code:74332-4604
Mailing Address - Country:US
Mailing Address - Phone:918-803-6731
Mailing Address - Fax:
Practice Address - Street 1:111 N BAILEY ST
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-4201
Practice Address - Country:US
Practice Address - Phone:918-824-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program