Healthcare Provider Details

I. General information

NPI: 1346215373
Provider Name (Legal Business Name): VERONICA C WRIGHT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E COLLINS ST
UMATILLA FL
32784-8383
US

IV. Provider business mailing address

1400 LONGVILLE CIR
TAVARES FL
32778-4918
US

V. Phone/Fax

Practice location:
  • Phone: 352-771-5500
  • Fax: 352-669-3164
Mailing address:
  • Phone: 407-341-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP2185932
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: