Provider Demographics
NPI:1396005674
Name:WRIGHT, MARY ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:WRIGHT
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Gender:F
Credentials:NP
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Mailing Address - Street 1:31889 HONEYSUCKLE CIR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8729
Mailing Address - Country:US
Mailing Address - Phone:951-566-5229
Mailing Address - Fax:951-566-5554
Practice Address - Street 1:521 E ELDER ST
Practice Address - Street 2:STE 104
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3081
Practice Address - Country:US
Practice Address - Phone:760-728-9560
Practice Address - Fax:760-728-9020
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
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Provider Licenses
StateLicense IDTaxonomies
CANP21718363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner