Healthcare Provider Details

I. General information

NPI: 1083016455
Provider Name (Legal Business Name): MICHAEL D WRIGHT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 E HARTFORD DR STE 103
SCOTTSDALE AZ
85255-5472
US

IV. Provider business mailing address

8585 E HARTFORD DR STE 103
SCOTTSDALE AZ
85255-5472
US

V. Phone/Fax

Practice location:
  • Phone: 480-562-6600
  • Fax: 480-562-6606
Mailing address:
  • Phone: 480-562-6600
  • Fax: 480-562-6606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5780
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: