Healthcare Provider Details

I. General information

NPI: 1992803472
Provider Name (Legal Business Name): DAWN M. WRIGHT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN M. HOOVER NP-C

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 53RD AVE E
BRADENTON FL
34203-4249
US

IV. Provider business mailing address

2310 CALIFORNIA RD SUITE A
ELKHART IN
46514-1228
US

V. Phone/Fax

Practice location:
  • Phone: 941-357-7950
  • Fax: 941-840-1003
Mailing address:
  • Phone: 574-264-0791
  • Fax: 574-262-9650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9406345
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: