Provider Demographics
NPI:1184940736
Name:WRIGHT, CHENNELL MONETE
Entity type:Individual
Prefix:
First Name:CHENNELL
Middle Name:MONETE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11301 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 227
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1060
Mailing Address - Country:US
Mailing Address - Phone:301-770-2779
Mailing Address - Fax:320-323-3621
Practice Address - Street 1:11301 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 227
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1060
Practice Address - Country:US
Practice Address - Phone:301-770-2779
Practice Address - Fax:320-323-3621
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD431533207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology