Individual
ANGELA MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
810 PARK PLACE, MISHAWAKA, IN 46545
(574) 366-0240
(574) 366-0218
Mailing address
810 PARK PLACE, MISHAWAKA, IN 46545
(574) 366-0240
(574) 366-0218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001017A
IN
363A00000X
Physician Assistant
99032985A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586619
ANTHEM PROVIDER NUMBER
IN
01
—
236040442
MEDICARE
IN
05
—
300013545
—
IN
Enumeration date
08/21/2008
Last updated
01/02/2026
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