Individual
SUSAN ELIZABETH WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
509 HAZEN ST, PAW PAW, MI 49079-1057
(269) 657-6058
(269) 657-5996
Mailing address
37360 52ND AVE, PAW PAW, MI 49079-9334
(269) 207-4502
(269) 657-5996
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704098998
MI
367A00000X
Advanced Practice Midwife
4704098998
MI
Other
Enumeration date
12/14/2005
Last updated
09/13/2012
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