Provider Demographics
NPI:1992734990
Name:WRIGHT, DONNA J K (CRNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J K
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S 2ND ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:366 ALEXANDER SPRING RD STE 2
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9214
Practice Address - Country:US
Practice Address - Phone:717-960-3927
Practice Address - Fax:717-706-6704
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50057500OtherBCBS
PAQ66171Medicare UPIN
PA099410SGNMedicare ID - Type Unspecified