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Individual

MS. PAULETTE DIANA WRIGHT I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN FNP-C/PA

Contact information

Practice address
8260 W INDIAN SCHOOL RD STE 4, PHOENIX, AZ 85033-2980
(623) 247-2300
(623) 247-1939
Mailing address
8260 W INDIAN SCHOOL RD STE 4, PHOENIX, AZ 85033-2980
(623) 247-2300
(623) 247-1939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124982
AZ
363LF0000X
Family Nurse Practitioner
295086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124982
REGISTERED NURSE LICENSE
AZ
01
202850015
TAX ID
AZ
01
295086
REGISTERED NURSE LICENS
CA
Enumeration date
07/07/2005
Last updated
07/02/2010
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