1104382431 NPI number — ANNE ELIZABETH CORBETT WRIGHT RN/ RDN

Table of content: ANNE ELIZABETH CORBETT WRIGHT RN/ RDN (NPI 1104382431)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104382431 NPI number — ANNE ELIZABETH CORBETT WRIGHT RN/ RDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CORBETT WRIGHT
Provider First Name:
ANNE
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN/ RDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104382431
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 DELAWARE AVE FL 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19801-1366
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-266-9166
Provider Business Mailing Address Fax Number:
866-670-8036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
121 BECKS WOODS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAR
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19701-3851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-365-8333
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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