Provider Demographics
NPI:1528745130
Name:MCWRIGHT, ROSIE WRIGHT
Entity type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:WRIGHT
Last Name:MCWRIGHT
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 1:1758 OAKDALE ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71108-3416
Mailing Address - Country:US
Mailing Address - Phone:318-676-2048
Mailing Address - Fax:318-606-2990
Practice Address - Street 1:1758 OAKDALE ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3416
Practice Address - Country:US
Practice Address - Phone:318-676-2048
Practice Address - Fax:318-606-2990
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company