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NPI Code Detail

MEDICARE: BRIGHTER PATHWAYS LLC

MEDICARE: BRIGHTER PATHWAYS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1033860333
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER PATHWAYS LLC
Provider Business Mailing Address
First Line : 6301 BANSHIRE DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-6572
Country : US
Telephone Number : 804-584-6894
Fax Number : 804-860-2026
Provider Business Practice Location Address
First Line : 6301 BANSHIRE DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-6572
Country : US
Telephone Number : 804-855-9520
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LINDA ANNE MODELFINO
Credential :
Telephone Number : 804-584-6894
Provider Enumeration Date : 01/18/2022
Last Update Date : 09/09/2025

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Directions to “BRIGHTER PATHWAYS LLC ” Practice Location

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