Provider Demographics
NPI:1124348743
Name:WRIGHT, DEBORAH ANN (RN,MSN,ANP)
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN,MSN,ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 BOOTH ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-7325
Mailing Address - Country:US
Mailing Address - Phone:516-263-9616
Mailing Address - Fax:
Practice Address - Street 1:184 BOOTH ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-7325
Practice Address - Country:US
Practice Address - Phone:516-263-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303117363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health