MEDICARE: WRIGHT ELEVATE HEALTH LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1790565380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRIGHT ELEVATE HEALTH LLC

Provider Business Mailing Address
First Line	:	PO BOX 565
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-0565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 W C ST
Second Line	:	SUITE #3
City	:	MC COOK
State	:	NE
Zip	:	69001-3592
Country	:	US
Telephone Number	:	308-777-2476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAYLOR WRIGHT
Credential	:	FNP-C
Telephone Number	:	308-999-0945

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	11/15/2023

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Directions to “WRIGHT ELEVATE HEALTH LLC ” Practice Location

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