Provider Demographics
NPI:1730050543
Name:WRIGHT, BEVERLY JOYCE (CNA)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JOYCE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILSON POINT RD UNIT 15439
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-7616
Mailing Address - Country:US
Mailing Address - Phone:443-619-5806
Mailing Address - Fax:
Practice Address - Street 1:4200 NECKER AVE
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2922
Practice Address - Country:US
Practice Address - Phone:443-619-5806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDW24548141374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide