MARY STEPHANIE WRIGHT APNP NPI 1790057560

NPI Information

NPI: 1790057560
Provider Name: MARY STEPHANIE WRIGHT, APNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
W3745 NORTH DRIVE
PLYMOUTH, WI
ZIP 53073
Phone: (920) 565-1034
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Mary Stephanie Wright, APNP is a primary care nurse practitioner in Plymouth, WI. Mary Stephanie Wright, APNP NPI is 1790057560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W3745 NORTH DRIVE
PLYMOUTH, WI
ZIP 53073
Phone: (920) 565-1034
Fax: (920) 272-7846

The NPI 1790057560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 3/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4767	WISCONSIN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4767-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01063882	OTHER	WISCONSIN	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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