Provider Demographics
NPI:1922992338
Name:WRIGHT, NICOLE LYNN HAJDUK (MS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:LYNN HAJDUK
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 JOHN ST STE N1100
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5349
Mailing Address - Country:US
Mailing Address - Phone:269-341-7887
Mailing Address - Fax:269-341-7887
Practice Address - Street 1:601 JOHN ST STE N1100
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5349
Practice Address - Country:US
Practice Address - Phone:269-341-7887
Practice Address - Fax:269-341-7887
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7201000150170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS