Provider Demographics
NPI:1972969905
Name:WRIGHT, PATRICIA (PHD, CRNP, CNS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD, CRNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-9105
Mailing Address - Country:US
Mailing Address - Phone:570-675-0752
Mailing Address - Fax:
Practice Address - Street 1:788 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2021
Practice Address - Country:US
Practice Address - Phone:412-307-4609
Practice Address - Fax:888-878-3824
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO15146363LF0000X
PACNS000029364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health