Provider Demographics
NPI:1346937141
Name:WRIGHT, CORINA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CORINA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:CORINA
Other - Middle Name:
Other - Last Name:NUCKOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1502 N PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4661
Mailing Address - Country:US
Mailing Address - Phone:804-877-8323
Mailing Address - Fax:
Practice Address - Street 1:1502 N PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4661
Practice Address - Country:US
Practice Address - Phone:804-877-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily