Individual
CARRIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN CNP
Contact information
Practice address
1036 W STEPHENSON ST, FREEPORT, IL 61032-4865
(815) 599-7140
(815) 599-7420
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041264996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L85938
MEDICARE PRIOR 7/15/2007
IL
Enumeration date
02/25/2006
Last updated
10/26/2017
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