Healthcare Provider Details

I. General information

NPI: 1225967391
Provider Name (Legal Business Name): SUZANNE WRIGHT BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 E 29TH AVE LOWR LEVEL
SPOKANE WA
99203-3917
US

IV. Provider business mailing address

5015 S REGAL ST APT B1011
SPOKANE WA
99223-7905
US

V. Phone/Fax

Practice location:
  • Phone: 610-608-7072
  • Fax:
Mailing address:
  • Phone: 610-608-7072
  • Fax: 610-608-7072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number61326827
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: