Provider Demographics
NPI:1902105901
Name:WRIGHT, ADONIUS MICHELLE (MSN, RN, WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ADONIUS
Middle Name:MICHELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, RN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 BURKARTH RD STE A
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-3120
Mailing Address - Country:US
Mailing Address - Phone:660-429-2228
Mailing Address - Fax:660-262-7418
Practice Address - Street 1:415 BURKARTH RD STE A
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-429-2228
Practice Address - Fax:660-262-7418
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017010990363LA2200X
MO2017010991363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health