| Doctor Name: | DIANE WRIGHT |
| NPI Number: | 1689961237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 26NJ00328900 |
| Business Practice Address: | 1672 Miller Ave West Deptford, NJ - 080863210 |
| Business Phone Number: | 8562788996 |
| Business Fax Number: | |
| Mailing Address: | 1672 Miller Ave, WEST DEPTFORD |
| State: | NJ |
| Postal Code: | 080863210 |
| Phone Number: | 8562788996 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00328900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |