Wright, Juanita

Wright, Juanita is an individual health care provider with primary practice located at 226 Dixwell Ave Lower Level, New Haven CT 06511-3456. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Wright, Juanita can be contacted via phone (203) 503-3205.

Contact Information

Primary practice address
226 Dixwell Ave Lower Level New Haven CT 06511-3456
Phone: (203) 503-3205
Fax: (203) 503-3455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X E48890 Connecticut

Profile Details

NPI number 1376879718
LBN Legal business name Wright, Juanita
Credentials R.N., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Oct 20th, 2009 - about 17 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 1376879718 NPPES
Connecticut MEDICAID 004235900

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