Individual
MRS. MANDY MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006822A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71006822A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001070519
ANTHEM BCBS
—
05
—
300002641
—
IN
05
—
7100465900
—
KY
01
—
71006822
INDIANA STATE LICENSE
IN
Enumeration date
10/26/2016
Last updated
05/29/2024
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