Healthcare Provider Details

I. General information

NPI: 1366337537
Provider Name (Legal Business Name): MODERN NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 RITCHIE HWY STE 200
GLEN BURNIE MD
21061-3129
US

IV. Provider business mailing address

3233 MERIDIANA PKWY STE 300
ROSHARON TX
77583-0257
US

V. Phone/Fax

Practice location:
  • Phone: 979-318-2416
  • Fax: 202-788-6369
Mailing address:
  • Phone: 979-318-2416
  • Fax: 202-788-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMBER BRIGHTLEY
Title or Position: NURSE PRACTITIONER
Credential: APRN FNP-C
Phone: 979-318-2416