Healthcare Provider Details

I. General information

NPI: 1730011149
Provider Name (Legal Business Name): SAMIYA LISA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 SALEM CHURCH RD
NEWARK DE
19713-2998
US

IV. Provider business mailing address

351 ARCTIC LN
SMYRNA DE
19977-4109
US

V. Phone/Fax

Practice location:
  • Phone: 302-631-2409
  • Fax:
Mailing address:
  • Phone: 302-358-9370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberL1-0033637
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: