Healthcare Provider Details

I. General information

NPI: 1114759313
Provider Name (Legal Business Name): ANGELA WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73010 EL PASEO STE 1
PALM DESERT CA
92260-4281
US

IV. Provider business mailing address

75130 MEDITERRANEAN STE C
PALM DESERT CA
92211-9087
US

V. Phone/Fax

Practice location:
  • Phone: 760-208-4011
  • Fax:
Mailing address:
  • Phone: 760-285-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95031145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: