Provider Demographics
NPI:1629742168
Name:WRIGHT, CARIE LEE (RN BSN CCM)
Entity Type:Individual
Prefix:
First Name:CARIE
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN BSN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 WIXOM TRL
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-2574
Mailing Address - Country:US
Mailing Address - Phone:248-842-1686
Mailing Address - Fax:248-684-7959
Practice Address - Street 1:2723 WIXOM TRL
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-2574
Practice Address - Country:US
Practice Address - Phone:248-842-1686
Practice Address - Fax:248-684-7959
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704274878163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management