Individual
DIANE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
932 BANK ST, NEW LONDON, CT 06320
(860) 437-2383
(860) 437-2388
Mailing address
110 SALEM RD, COLCHESTER, CT 06415-5316
(860) 639-3610
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001131
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04178746CL
CLINIC
—
01
—
114025
VALUE OPTIONS
—
05
—
4014679
—
CT
05
—
4024972
—
CT
Enumeration date
10/19/2006
Last updated
08/16/2018
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