Provider Demographics
NPI:1225140577
Name:WRIGHT, DEBORAH J (NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HILLTOP CIR
Mailing Address - Street 2:UW-EC
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4004
Mailing Address - Country:US
Mailing Address - Phone:715-836-4311
Mailing Address - Fax:715-836-5979
Practice Address - Street 1:610 HILLTOP CIR
Practice Address - Street 2:UW-EC
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4004
Practice Address - Country:US
Practice Address - Phone:715-836-4311
Practice Address - Fax:715-836-5979
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI92426-030163W00000X
WI294-033363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43834800Medicaid
S79286Medicare UPIN
WI43834800Medicaid