Healthcare Provider Details

I. General information

NPI: 1992625917
Provider Name (Legal Business Name): AMY WRIGHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY LONG

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 888-405-6396
  • Fax:
Mailing address:
  • Phone: 888-405-6396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9610444
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: