Provider Demographics
NPI:1487820510
Name:WRIGHT, DEBORAH S (CNM)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:S
Other - Last Name:SIMMLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DR
Practice Address - Street 2:SUITE 5A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5248
Practice Address - Country:US
Practice Address - Phone:828-650-8077
Practice Address - Fax:828-651-0194
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC216811367A00000X
NC621367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCIB881ZMedicare PIN
FLIB881ZMedicare PIN
NCIB881ZMedicare PIN