Provider Demographics
NPI:1770700791
Name:WRIGHT, ANN (RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1033
Mailing Address - Street 2:2607 BIRCH STREET
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-1033
Mailing Address - Country:US
Mailing Address - Phone:907-224-9566
Mailing Address - Fax:907-224-3798
Practice Address - Street 1:417 FIRST AVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-0365
Practice Address - Country:US
Practice Address - Phone:907-224-2800
Practice Address - Fax:907-224-3798
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3415163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNA2487Medicaid
AKHH2487Medicaid
AKPCG214Medicaid
AK1912011842OtherAGENCY NPI NUMBER
AKHH2487Medicaid