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:
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Health care specialties

SpecialtyCodeLicense #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 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 1891247748 NPPES
Indiana MEDICAID 300002641
Indiana Other 000001070519
Indiana MEDICAID 7100465900
Indiana Other 71006822

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