Provider Demographics
NPI:1801810106
Name:WRIGHT, HOLLY B (CRNP)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:B
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4812
Mailing Address - Country:US
Mailing Address - Phone:302-421-2700
Mailing Address - Fax:302-421-2705
Practice Address - Street 1:1901 N MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4812
Practice Address - Country:US
Practice Address - Phone:302-421-2700
Practice Address - Fax:302-421-2705
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0026992163W00000X
DELG-0000311363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000025966Medicaid
DE013811S17Medicare ID - Type Unspecified
DE1000025966Medicaid