Provider Demographics
NPI:1194296079
Name:WRIGHT, BETH MARIE (AGACNP-BC DNP BSN RN)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AGACNP-BC DNP BSN RN
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:MARIE
Other - Last Name:GREENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:151484 STATE PARK RD
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-6676
Mailing Address - Country:US
Mailing Address - Phone:608-334-7307
Mailing Address - Fax:
Practice Address - Street 1:333 PINE RIDGE BLVD STE 317
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401
Practice Address - Country:US
Practice Address - Phone:715-847-2837
Practice Address - Fax:715-847-2614
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8935-33363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care