Provider Demographics
NPI:1992299283
Name:WRIGHT, TREVOR D (NP)
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:725 GLENWOOD DR STE E486
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1173
Mailing Address - Country:US
Mailing Address - Phone:423-206-4140
Mailing Address - Fax:423-495-4819
Practice Address - Street 1:725 GLENWOOD DR STE E486
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1173
Practice Address - Country:US
Practice Address - Phone:423-206-4140
Practice Address - Fax:423-495-4819
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000024145363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner