Provider Demographics
NPI:1720147143
Name:WRIGHT, MITCHELL PAUL JR (RN)
Entity Type:Individual
Prefix:MR
First Name:MITCHELL
Middle Name:PAUL
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:RN
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Mailing Address - Street 1:7263 E MINGUS TRL
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-9766
Mailing Address - Country:US
Mailing Address - Phone:928-775-6967
Mailing Address - Fax:928-442-8737
Practice Address - Street 1:7700 E FLORENTINE RD
Practice Address - Street 2:YAVAPAI REGIONAL MEDICAL CENTER, EAST CAMPUS
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2245
Practice Address - Country:US
Practice Address - Phone:928-442-8732
Practice Address - Fax:928-442-8737
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZRN103998163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse