Healthcare Provider Details

I. General information

NPI: 1316452071
Provider Name (Legal Business Name): IRIS WRIGHT II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 S HOLLAND SYLVANIA RD APT 20
MAUMEE OH
43537-1413
US

IV. Provider business mailing address

2423 S HOLLAND SYLVANIA RD APT 20
MAUMEE OH
43537-1413
US

V. Phone/Fax

Practice location:
  • Phone: 614-584-8972
  • Fax:
Mailing address:
  • Phone: 614-584-8972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: