1063569952 NPI number — MRS. LANIKA LENNEE WRIGHT WHNP

Table of content: MRS. LANIKA LENNEE WRIGHT WHNP (NPI 1063569952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063569952 NPI number — MRS. LANIKA LENNEE WRIGHT WHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
LANIKA
Provider Middle Name:
LENNEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
WHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063569952
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1206 ALLEN RD APT D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27834-8234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-328-6841
Provider Business Mailing Address Fax Number:
252-328-4007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EAST CAROLINA UNIVERISTY
Provider Second Line Business Practice Location Address:
1001 EAST 5TH STREET
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-328-6841
Provider Business Practice Location Address Fax Number:
252-328-4007
Provider Enumeration Date:
01/04/2007

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: 363LW0102X , with the licence number:  940107 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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