Provider Demographics
NPI:1386085777
Name:WRIGHT, HEATHER RAE (MA, CR)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:RAE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1425
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-1425
Mailing Address - Country:US
Mailing Address - Phone:970-420-9281
Mailing Address - Fax:
Practice Address - Street 1:1304 S COLLEGE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4114
Practice Address - Country:US
Practice Address - Phone:970-420-9281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist