Provider Demographics
NPI:1104715259
Name:WRIGHT, RYLEE COLLEEN (DNP)
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:COLLEEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 E BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:STANSBURY PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84074-8298
Mailing Address - Country:US
Mailing Address - Phone:801-441-8862
Mailing Address - Fax:
Practice Address - Street 1:292 E BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:STANSBURY PARK
Practice Address - State:UT
Practice Address - Zip Code:84074-8298
Practice Address - Country:US
Practice Address - Phone:801-441-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10395765-8900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner