MEDICARE: SHARON JOANNE WRIGHT NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	71012951A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71012951A	IN

General Provider Information

NPI Number	:	1508586249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON JOANNE WRIGHT NP

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9670 E WASHINGTON ST STE 120
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-3051
Country	:	US
Telephone Number	:	317-890-5700
Fax Number	:	317-890-5701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	12/13/2022

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