Healthcare Provider Details
I. General information
NPI: 1164546297
Provider Name (Legal Business Name): DARLENE ANNETTE WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 SUNNYBROOK RD
RALEIGH NC
27610-1808
US
IV. Provider business mailing address
6208 FISHING CREEK RD
ENFIELD NC
27823-8128
US
V. Phone/Fax
- Phone: 919-250-4701
- Fax:
- Phone: 252-443-7620
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 62442 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: