Healthcare Provider Details

I. General information

NPI: 1508073834
Provider Name (Legal Business Name): MICHAEL ENRIGHT PHD, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 EAST BROADWAY STREET MEDICAL ARTS BUILDING
JACKSON WY
83001-4120
US

IV. Provider business mailing address

PO BOX 4120 557 EAST BROADWAY
JACKSON WY
83001-4120
US

V. Phone/Fax

Practice location:
  • Phone: 307-733-7771
  • Fax: 307-733-8276
Mailing address:
  • Phone: 307-733-7771
  • Fax: 307-733-8276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number121
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: