Provider Demographics
NPI:1659098754
Name:MYNTTI-WRIGHT, INGRID
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:MYNTTI-WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5833
Mailing Address - Country:US
Mailing Address - Phone:440-452-3259
Mailing Address - Fax:
Practice Address - Street 1:408 8TH ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5833
Practice Address - Country:US
Practice Address - Phone:440-452-3259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care