Healthcare Provider Details

I. General information

NPI: 1659429884
Provider Name (Legal Business Name): NANCY E WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

1988 COMMONWEALTH AVE
BOSTON MA
02135-5704
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-5110
  • Fax:
Mailing address:
  • Phone: 617-782-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number118976
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: