Healthcare Provider Details

I. General information

NPI: 1790964138
Provider Name (Legal Business Name): KAREN L. WRIGHT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15901 BASS RD STE 102
FORT MYERS FL
33908-3838
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-9890
  • Fax:
Mailing address:
  • Phone: 239-343-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number209011334
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN9207682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: