1851548614 NPI number — MS. GERTRUDE I FRICKO WRIGHT APN

Table of content: MS. GERTRUDE I FRICKO WRIGHT APN (NPI 1851548614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851548614 NPI number — MS. GERTRUDE I FRICKO WRIGHT APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
GERTRUDE I
Provider Middle Name:
FRICKO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WRIGHT
Provider Other First Name:
TRUDY
Provider Other Middle Name:
FRICKO
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1851548614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 PATTERSON ST
Provider Second Line Business Mailing Address:
WOMEN'S HOSPITAL, CENTENNIAL MEDICAL CENTER
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-1538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-342-8299
Provider Business Mailing Address Fax Number:
615-342-8250

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 PATTERSON ST
Provider Second Line Business Practice Location Address:
WOMEN'S HOSPITAL, CENTENNIAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-1538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-342-8299
Provider Business Practice Location Address Fax Number:
615-342-8250
Provider Enumeration Date:
08/25/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WX0003X , with the licence number:  RN00000072043 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X , with the licence number: APN0000011101 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)