Provider Demographics
NPI:1437815495
Name:WRIGHT, TEENA MARIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TEENA
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10703 BLANCA PEAK CT
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-8374
Mailing Address - Country:US
Mailing Address - Phone:719-321-4085
Mailing Address - Fax:719-364-9494
Practice Address - Street 1:6615 DELMONICO DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1809
Practice Address - Country:US
Practice Address - Phone:719-364-9494
Practice Address - Fax:719-364-9494
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997122-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily