Provider Demographics
NPI:1598039471
Name:WRIGHT, DARCY T (NP)
Entity type:Individual
Prefix:MR
First Name:DARCY
Middle Name:T
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 S COAST HWY
Mailing Address - Street 2:STE I
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6500
Mailing Address - Country:US
Mailing Address - Phone:760-763-8602
Mailing Address - Fax:
Practice Address - Street 1:2110 S COAST HWY
Practice Address - Street 2:STE I
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6500
Practice Address - Country:US
Practice Address - Phone:760-763-8602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21629363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health