Provider Demographics
NPI:1538868690
Name:WRIGHT, DAVIDA CHARLENE (RN)
Entity type:Individual
Prefix:
First Name:DAVIDA
Middle Name:CHARLENE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-4174
Mailing Address - Country:US
Mailing Address - Phone:509-416-7848
Mailing Address - Fax:509-416-7849
Practice Address - Street 1:1315 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4174
Practice Address - Country:US
Practice Address - Phone:509-416-7848
Practice Address - Fax:509-416-7849
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00150079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty