MEDICARE: MARY B WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.415714	OH

General Provider Information

NPI Number	:	1821940206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY B WRIGHT

Provider Business Mailing Address
First Line	:	PO BOX N
Second Line	:
City	:	SOUTH CHARLESTON
State	:	OH
Zip	:	45368-0814
Country	:	US
Telephone Number	:	614-917-7551
Fax Number	:	614-917-7551

Provider Business Practice Location Address
First Line	:	PO BOX N
Second Line	:
City	:	SOUTH CHARLESTON
State	:	OH
Zip	:	45368-0814
Country	:	US
Telephone Number	:	614-917-7551
Fax Number	:	614-917-7551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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