MEDICARE: TRICIA WRIGHT APRN

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	363LG0600X	Gerontology Nurse Practitioner	APRN11009109	FL
2	363LA2200X	Adult Health Nurse Practitioner	APRN11009109	FL
3	363L00000X	Nurse Practitioner	APRN11009109	FL
4	363LP2300X	Primary Care Nurse Practitioner	APRN11009109	FL

General Provider Information

NPI Number	:	1770199770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRICIA WRIGHT APRN

Provider Business Mailing Address
First Line	:	4627 NW 58TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2825
Country	:	US
Telephone Number	:	954-400-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4627 NW 58TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2825
Country	:	US
Telephone Number	:	954-440-0910
Fax Number	:

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

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	02/28/2026

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