Provider Demographics
NPI:1992285019
Name:WRIGHT, VERNICE ANN (CRT,RRT,NPR)
Entity type:Individual
Prefix:MISS
First Name:VERNICE
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRT,RRT,NPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15611 DEBLYNN AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-2328
Mailing Address - Country:US
Mailing Address - Phone:310-713-1452
Mailing Address - Fax:
Practice Address - Street 1:15611 DEBLYNN AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-2328
Practice Address - Country:US
Practice Address - Phone:310-713-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149792279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/PediatricsGroup - Multi-Specialty