Healthcare Provider Details

I. General information

NPI: 1760937650
Provider Name (Legal Business Name): DEANNA WRIGHT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD STE E205
NORTH KINGSTOWN RI
02852-4168
US

IV. Provider business mailing address

124 NOTTINGHAM DR
WEST WARWICK RI
02893-5563
US

V. Phone/Fax

Practice location:
  • Phone: 401-409-2033
  • Fax:
Mailing address:
  • Phone: 401-206-2682
  • Fax: 401-289-9848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN01392
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN01392
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN01392
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN01392
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: