Healthcare Provider Details

I. General information

NPI: 1225481468
Provider Name (Legal Business Name): CRAIG WRIGHT PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3169 BEECHER RD
FLINT MI
48532
US

IV. Provider business mailing address

3169 BEECHER RD
FLINT MI
48532
US

V. Phone/Fax

Practice location:
  • Phone: 810-213-1803
  • Fax:
Mailing address:
  • Phone: 810-213-1803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number4704236206
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704236206
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704236206
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: