Provider Demographics
NPI:1013278142
Name:WRIGHT, SUN (NP)
Entity Type:Individual
Prefix:
First Name:SUN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 E ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-3638
Mailing Address - Country:US
Mailing Address - Phone:602-506-5101
Mailing Address - Fax:602-372-0342
Practice Address - Street 1:1645 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3638
Practice Address - Country:US
Practice Address - Phone:602-506-5101
Practice Address - Fax:602-372-0342
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily