Healthcare Provider Details
I. General information
NPI: 1508838715
Provider Name (Legal Business Name): CORINNE ANN WRIGHT A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
239 PLEASANT ST PLEASANT VIEW CENTER
CONCORD NH
03301-7504
US
IV. Provider business mailing address
239 PLEASANT ST PLEASANT VIEW CENTER
CONCORD NH
03301-7504
US
V. Phone/Fax
- Phone: 603-224-6561
- Fax: 603-224-8530
- Phone: 603-224-6561
- Fax: 603-224-8530
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 045267-23-03 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: