Provider Demographics
NPI:1962970095
Name:WRIGHT, SHAYNA-RHEY MANNING
Entity type:Individual
Prefix:
First Name:SHAYNA-RHEY
Middle Name:MANNING
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 1:10799 HIGHWAY 7 W
Mailing Address - Street 2:
Mailing Address - City:MARQUEZ
Mailing Address - State:TX
Mailing Address - Zip Code:77865-4407
Mailing Address - Country:US
Mailing Address - Phone:251-321-1943
Mailing Address - Fax:
Practice Address - Street 1:4030 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-1805
Practice Address - Country:US
Practice Address - Phone:979-431-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX325810164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse