Wright, Angela Marie

Wright, Angela Marie is an individual health care provider with primary practice located at 1753 Fulton St , Elkhart IN 46514-1927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wright, Angela Marie can be contacted via phone (574) 293-9448.

Contact Information

Primary practice address
1753 Fulton St Elkhart IN 46514-1927
Phone: (574) 293-9448
Fax: (574) 293-9480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 99032985A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001017A Indiana

Profile Details

NPI number 1508013418
LBN Legal business name Wright, Angela Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Aug 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508013418 NPPES
Indiana Other 000000586619 ANTHEM PROVIDER NUMBER
Indiana Other 236040442 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 300013545 ANTHEM PROVIDER NUMBER

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