Provider Demographics
NPI:1154480416
Name:WRIGHT, ELISE C (CRNP)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:CIPRIANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4564 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1314
Mailing Address - Country:US
Mailing Address - Phone:412-683-1278
Mailing Address - Fax:412-683-6992
Practice Address - Street 1:4564 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1314
Practice Address - Country:US
Practice Address - Phone:412-683-1278
Practice Address - Fax:412-683-6992
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP001724C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health