Provider Demographics
NPI:1710269766
Name:WRIGHT, DEBRA T (CRNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:T
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:DIDOMIZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:213 REECEVILLE RD
Mailing Address - Street 2:SUITE 17
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1528
Mailing Address - Country:US
Mailing Address - Phone:610-384-6076
Mailing Address - Fax:610-384-4825
Practice Address - Street 1:213 REECEVILLE RD
Practice Address - Street 2:SUITE 17
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1528
Practice Address - Country:US
Practice Address - Phone:610-384-6076
Practice Address - Fax:610-384-4825
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011478363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA228416HGAMedicare PIN