Provider Demographics
NPI:1033773304
Name:WRIGHT, FIONNE J (QMHS)
Entity Type:Individual
Prefix:MS
First Name:FIONNE
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 N COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4020
Mailing Address - Country:US
Mailing Address - Phone:419-215-8822
Mailing Address - Fax:
Practice Address - Street 1:1756 N COVE BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4020
Practice Address - Country:US
Practice Address - Phone:419-215-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH340225Medicaid