Healthcare Provider Details

I. General information

NPI: 1114856663
Provider Name (Legal Business Name): REBEKAH WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

38 WRIGHT ST
SHELTON CT
06484-4435
US

V. Phone/Fax

Practice location:
  • Phone: 203-668-4242
  • Fax:
Mailing address:
  • Phone: 801-602-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number173235
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: