Wright, Mandy Marie
Wright, Mandy Marie is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wright, Mandy Marie can be contacted via phone (812) 424-8231.Contact Information
Primary practice address
520 Mary St Ste 520
Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71006822A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71006822A | Indiana |
Profile Details
NPI number | 1891247748 |
---|---|
LBN Legal business name | Wright, Mandy Marie |
Credentials | AGACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2016 |
Last updated | May 29th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891247748 | NPPES |
Indiana | MEDICAID | 300002641 | |
Indiana | Other | 000001070519 | |
Indiana | MEDICAID | 7100465900 | |
Indiana | Other | 71006822 |
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