Provider Demographics
NPI:1205452984
Name:WRIGHT, MONICA ANNE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ANNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13945 S 700 W
Mailing Address - Street 2:
Mailing Address - City:KENTLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47951-8600
Mailing Address - Country:US
Mailing Address - Phone:815-216-0332
Mailing Address - Fax:
Practice Address - Street 1:1237 E 1600 NORTH RD
Practice Address - Street 2:
Practice Address - City:GILMAN
Practice Address - State:IL
Practice Address - Zip Code:60938-6112
Practice Address - Country:US
Practice Address - Phone:815-707-2155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.021421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily