Provider Demographics
NPI:1497294334
Name:WRIGHT, KARIE LYNN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KARIE
Middle Name:LYNN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 MARIAN DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-4105
Mailing Address - Country:US
Mailing Address - Phone:734-558-2667
Mailing Address - Fax:
Practice Address - Street 1:8944 MACOMB ST
Practice Address - Street 2:
Practice Address - City:GROSSE ILE
Practice Address - State:MI
Practice Address - Zip Code:48138-1577
Practice Address - Country:US
Practice Address - Phone:734-675-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704283402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily