Provider Demographics
NPI:1407174279
Name:WRIGHT, SHARON ANN (ANP-C)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ANP-C
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 5010
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-5010
Mailing Address - Country:US
Mailing Address - Phone:701-857-5000
Mailing Address - Fax:
Practice Address - Street 1:3400 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58707
Practice Address - Country:US
Practice Address - Phone:701-418-2600
Practice Address - Fax:701-418-1090
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR35029363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1452004Medicaid
NDN722966Medicare PIN