Individual
MRS. OCTAVIA N MANUEL-WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1317 W GRAND AVE STE 6, PORT WASHINGTON, WI 53074-2075
(216) 468-5000
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141851-030
WI
363L00000X
Nurse Practitioner
7674-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7674-33
WI
Other
Enumeration date
09/14/2007
Last updated
09/04/2025
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