Healthcare Provider Details

I. General information

NPI: 1942414297
Provider Name (Legal Business Name): STEPHANIE K. WRIGHT FNP, PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W MIDDLE LN
ROCKVILLE MD
20850-2213
US

IV. Provider business mailing address

209 WATTS BRANCH PKWY
ROCKVILLE MD
20850-2913
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-6483
  • Fax:
Mailing address:
  • Phone: 301-279-8843
  • Fax: 301-309-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR070604
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR070604
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: