Provider Demographics
NPI:1861770380
Name:WRIGHT, MELINDA ANN (FNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP
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Other - Credentials:
Mailing Address - Street 1:999 EXECUTIVE PARK BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4632
Mailing Address - Country:US
Mailing Address - Phone:423-224-3250
Mailing Address - Fax:423-224-3258
Practice Address - Street 1:280 VIRGINIA AVE NE
Practice Address - Street 2:SUITE 107
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1538
Practice Address - Country:US
Practice Address - Phone:276-679-5390
Practice Address - Fax:276-679-5395
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2012-07-27
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Provider Licenses
StateLicense IDTaxonomies
VA0024169549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV V4072CMedicare PIN
VAV V4072BMedicare PIN