Provider Demographics
NPI:1962293076
Name:WRIGHT, TARA M (DNP, FNP, BSN, RN)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DNP, FNP, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BEACON RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-4505
Mailing Address - Country:US
Mailing Address - Phone:864-770-3714
Mailing Address - Fax:
Practice Address - Street 1:20 BEACON RIDGE CIR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SC
Practice Address - Zip Code:29676-4505
Practice Address - Country:US
Practice Address - Phone:864-770-3714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC109864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily