Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 270704 | MN |
N | 207VE0102X | Reproductive Endocrinologist | 270704 | MN |
NPI | 1417924614 |
---|---|
Provider Name | Elisa M Wright |
First Address | Edina, MN 55435 |
Second Address | Edina, MN 55435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 04/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19546WR | BLUE CROSS BLUE SHIELD (01) | MN |
239360300 | (05) | MN |
A95218 | (02) | |
HP14720 | HEALTH PARTNERS (01) | MN |