Provider Demographics
NPI:1255732079
Name:WRIGHT, KAYLA MAUREEN (CNM, WHNP)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:MAUREEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 S LAURA DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5027
Mailing Address - Country:US
Mailing Address - Phone:208-680-1218
Mailing Address - Fax:
Practice Address - Street 1:5089 S 900 E STE 201
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-5724
Practice Address - Country:US
Practice Address - Phone:801-288-2229
Practice Address - Fax:801-288-7045
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-75951363LW0102X, 367A00000X
COC-APN.0002479-C-NP363LW0102X
COC-APN.0002374-C-CNM367A00000X
UT12377695-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health