Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | LP-0000150 | DE |
N | 363LA2200X | Nurse Practitioner - Adult Health | LP-0000150 | DE |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | LP-0000150 | DE |
N | 363LG0600X | Nurse Practitioner - Gerontology | LP-0000150 | DE |
NPI | 1093184525 |
---|---|
Provider Name | Katelyn N. Wright |
First Address | Newark, DE 19713-2049 |
Second Address | Newark, DE 19718-2049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2015 |
Last Update Date | 31/05/2017 |