Individual
MRS. JUANITA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.
Contact information
Practice address
226 DIXWELL AVE, LOWER LEVEL, NEW HAVEN, CT 06511-3456
(203) 503-3205
(203) 503-3455
Mailing address
35 PINE ROCK RD, NEW HAVEN, CT 06511-1664
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
E48890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
10/20/2009
Last updated
10/20/2009
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