Wright, Diane

Wright, Diane is an individual health care provider with primary practice located at 932 Bank St , New London CT 06320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wright, Diane can be contacted via phone (860) 437-2383.

Contact Information

Primary practice address
932 Bank St New London CT 06320
Phone: (860) 437-2383
Fax: (860) 437-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 001131 Connecticut

Profile Details

NPI number 1205918562
LBN Legal business name Wright, Diane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 16th, 2018 - about 7 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 1205918562 NPPES
Other 04178746CL CLINIC
MEDICAID 4014679 CLINIC
MEDICAID 4024972 CLINIC
Other 114025 CLINIC

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