Audrea R. Wright, RN
Individual provider Active NPI Registered Nurse · East Dublin, GA
NPI 1174790232 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1174790232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN198050 (GA)
- Practice address
- 1643 New Buckeye Rd
East Dublin, GA 31027-2378 - Phone
- (478) 290-0831
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198050 | GA | MD | Case Management Registered Nurse |
| LPN058507 | GA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN198050 | GA | |
| Licensed Practical Nurse | 164W00000X | LPN058507 | GA | |
| Registered Nurse | 163W00000X | RN198050 | GA | Yes |
Addresses
Primary practice location
1643 New Buckeye Rd
East Dublin, GA 31027-2378
Mailing address
1643 New Buckeye Rd
East Dublin, GA 31027-2378
Other practice location 1
2121A Bellevue Rd
Dublin, GA 31021-2998
Phone (478) 272-1190 ext. 1124
Other providers in East Dublin, GA
- UC Docs, PC
- Walgreen Co
- Michelle Whitehead
- Michael Royce Williams
- Sophia Woodard
- Jarvin Jermaine Wright
All providers in East Dublin, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.