Provider Demographics
NPI:1871809004
Name:WAINRIGHT, PATRICK HENDERSON JR (FNP-BC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:HENDERSON
Last Name:WAINRIGHT
Suffix:JR
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82525 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:LA
Mailing Address - Zip Code:70437-6111
Mailing Address - Country:US
Mailing Address - Phone:985-898-4001
Mailing Address - Fax:985-839-9884
Practice Address - Street 1:82525 HWY 25
Practice Address - Street 2:ST TAMMANY PHYSICIANS NETWORK-FOLSOM
Practice Address - City:FOLSOM
Practice Address - State:LA
Practice Address - Zip Code:70437
Practice Address - Country:US
Practice Address - Phone:985-898-4001
Practice Address - Fax:985-839-9884
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP08775Medicaid