Provider Demographics
NPI:1811740319
Name:WRIGHT, RENEE EDITH
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:EDITH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 MILLWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49306-8911
Mailing Address - Country:US
Mailing Address - Phone:616-970-2357
Mailing Address - Fax:
Practice Address - Street 1:1331 MILLWOOD DR NE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MI
Practice Address - Zip Code:49306-8911
Practice Address - Country:US
Practice Address - Phone:616-970-2357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker