Healthcare Provider Details

I. General information

NPI: 1982977351
Provider Name (Legal Business Name): ANGELA MARIE WRIGHT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1600 N.W. 12TH AVE.
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6567
  • Fax:
Mailing address:
  • Phone: 305-585-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberARNP 9176186
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberARNP9176186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: