NPI 1902476617
Collin James Wainwright, CERTIFIEDRECOVERYS
Practice location
- Address
- 206 S Orange St. STE. 5, Media, PA 19063
- Phone
- (855) 687-2410
- Fax
- (855) 687-2410
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1902476617
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jun 2021
- Record last updated
- 26 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.