Provider Demographics
NPI:1487020715
Name:WRIGHT, LEANNE KRISTEN (ARNP)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:KRISTEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8432 E FORT COOPER RD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-7388
Mailing Address - Country:US
Mailing Address - Phone:352-682-8857
Mailing Address - Fax:
Practice Address - Street 1:490 S OLD WIRE RD
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-5001
Practice Address - Country:US
Practice Address - Phone:352-748-3683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9296815363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology