Provider Demographics
NPI:1558698563
Name:WRIGHT, ANN LOUISE (CNM)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 BUSCHMANN RD, STE L
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969
Mailing Address - Country:US
Mailing Address - Phone:530-872-7579
Mailing Address - Fax:530-872-5645
Practice Address - Street 1:836 W EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2512
Practice Address - Country:US
Practice Address - Phone:650-964-8093
Practice Address - Fax:650-964-0185
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNM: 686367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife