Individual
DEBRA MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, STE 1, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704129158
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704129158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497048714
TRICARE
NC
01
—
1497048714
VIRGINIA MEDICAID
VA
05
—
1497048714
—
NC
01
—
P01101783
RRMCA
NC
Enumeration date
05/19/2011
Last updated
01/23/2018
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