Healthcare Provider Details

I. General information

NPI: 1710415377
Provider Name (Legal Business Name): ROSIE J WRIGHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 CARNEGIE AVE
CLEVELAND OH
44115-2805
US

IV. Provider business mailing address

1127 CARNEGIE AVE
CLEVELAND OH
44115-2805
US

V. Phone/Fax

Practice location:
  • Phone: 216-861-4246
  • Fax: 216-861-1156
Mailing address:
  • Phone: 216-861-4246
  • Fax: 216-861-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN196963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: