Individual
MARY STEPHANIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
502 HIGHWAY 67, KIEL, WI 53042-1650
(920) 894-5661
(920) 894-1120
Mailing address
334 EMERALD HILLS DR, FREDONIA, WI 53021-9351
(262) 483-4374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4767
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
4767-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01063882
RR MEDICARE
WI
Enumeration date
02/08/2012
Last updated
09/22/2025
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