Provider Demographics
NPI:1962969147
Name:WRIGHT, AMBER DAWNETTE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWNETTE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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 6373
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-6373
Mailing Address - Country:US
Mailing Address - Phone:828-244-8191
Mailing Address - Fax:
Practice Address - Street 1:4874 RIO DE LUNA
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-9360
Practice Address - Country:US
Practice Address - Phone:828-244-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCWRIG-Y7E3S2363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily