Healthcare Provider Details

I. General information

NPI: 1972969905
Provider Name (Legal Business Name): PATRICIA WRIGHT PHD, CRNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 WASHINGTON RD
PITTSBURGH PA
15228-2021
US

IV. Provider business mailing address

1 CIRCLE DR
DALLAS PA
18612-9105
US

V. Phone/Fax

Practice location:
  • Phone: 412-307-4609
  • Fax: 888-878-3824
Mailing address:
  • Phone: 570-675-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSPO15146
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCNS000029
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: