Provider Demographics
NPI:1821013921
Name:WRIGHT, CATHERINE KIPP (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:KIPP
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-3324
Mailing Address - Country:US
Mailing Address - Phone:919-742-5641
Mailing Address - Fax:919-742-7496
Practice Address - Street 1:1000 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-3324
Practice Address - Country:US
Practice Address - Phone:919-742-5641
Practice Address - Fax:919-742-7496
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200782OtherMEDICAL LICENSE
NCE0270OtherMEDCOST PROVIDER NUMBER
NC2599505BMedicare ID - Type Unspecified
NCE0270OtherMEDCOST PROVIDER NUMBER