Provider Demographics
NPI:1962174193
Name:WRIGHT, SARAH KELLY (PA)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KELLY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3054 DAISY LN
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21161-9613
Mailing Address - Country:US
Mailing Address - Phone:443-686-0098
Mailing Address - Fax:
Practice Address - Street 1:3054 DAISY LN
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:MD
Practice Address - Zip Code:21161-9613
Practice Address - Country:US
Practice Address - Phone:443-686-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant