Healthcare Provider Details

I. General information

NPI: 1275347569
Provider Name (Legal Business Name): BIANCA WRIGHT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 CAPITAL BLVD
RALEIGH NC
27604-4539
US

IV. Provider business mailing address

2645 DWIGHT PL
RALEIGH NC
27610-6546
US

V. Phone/Fax

Practice location:
  • Phone: 984-529-1776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: