Provider Demographics
NPI:1154507481
Name:WRIGHT, RAPUNZEL LAQUETTE (STNA)
Entity Type:Individual
Prefix:MS
First Name:RAPUNZEL
Middle Name:LAQUETTE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:STNA
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 32698
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-0698
Mailing Address - Country:US
Mailing Address - Phone:216-731-7689
Mailing Address - Fax:
Practice Address - Street 1:681 BABBITT RD
Practice Address - Street 2:202B
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2563
Practice Address - Country:US
Practice Address - Phone:216-731-7689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2709751OtherINDEPENDENT PROVIDER NO.