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General NPI Number Information
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NPI Number | 1366337537
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Entity Type | Organization
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Legal Business Name | MODERN NP PLLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1509 RED HILLS DR
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City | ROSHARON
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State | TX
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Zip | 77583-3592
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Country | US
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Telephone | 443-852-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 RED HILLS DR
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City | ROSHARON
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State | TX
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Zip | 77583-3592
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Country | US
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Telephone | 443-852-8650
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | AMBER BRIGHTLEY
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Credential | APRN FNP-C
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Telephone | 979-318-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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