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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205918562 | NPPES |
| Other | 04178746CL | CLINIC | |
| MEDICAID | 4014679 | CLINIC | |
| MEDICAID | 4024972 | CLINIC | |
| Other | 114025 | CLINIC |
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