SEAN NICHOLAS WRIGHT PA-C NPI 1487269080

NPI Information

Sean Nicholas Wright, PA-C is a medical physician assistant in Logan, UT with 4 years of experience. Sean Nicholas Wright, PA-C NPI is 1487269080. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2020

The provider's business location address is:

630 E 1400 N STE 150
LOGAN, UT
ZIP 84341-549
Phone: (435) 915-4465
Fax: (435) 799-3664

The NPI 1487269080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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