Tanner James Wright
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1184382012
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1184382012
- Entity type
- Individual (NPI-1)
- Name
- Tanner James Wright
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | MT229713 | PA | Yes |
Practice location
2601 Holme AvePhiladelphia, PA 19152-2096
Phone 215-300-4016
Mailing address
2601 Holme AvePhiladelphia, PA 19152-2096
Phone 215-300-4016
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