Physician Compare National (NPI:1689961237)

HEALTHCARE PROVIDER: DIANE WRIGHT ANP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689961237
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799939682
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130130000182
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WRIGHT
	Individual professional last name
Provider First Name	DIANE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1672 MILLER AVE
	Group Practice or individual's line 1 address
City	WEST DEPTFORD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080863210
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8564913641
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL OF SALEM COUNTY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y