Provider Demographics
NPI:1922399716
Name:ENRIGHT, TERESA JOANNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JOANNE
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14163
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-4163
Mailing Address - Country:US
Mailing Address - Phone:307-739-7696
Mailing Address - Fax:307-739-0734
Practice Address - Street 1:5235 HHR RANCH RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:WY
Practice Address - Zip Code:83014-9210
Practice Address - Country:US
Practice Address - Phone:307-739-7696
Practice Address - Fax:307-739-0734
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY30108.1147363LF0000X
CANP95015338363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY131038100Medicaid
WYW25461OtherMEDICARE PTAN SJMC