| Bright Integrative Care | |
|
11551 Nuckols Rd Ste P Glen Allen VA 23059-5565 | |
| (703) 582-6433 | |
| Not Available |
| Full Name | Bright Integrative Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11551 Nuckols Rd Ste P, Glen Allen, Virginia |
| Authorized Official Name and Position | Manjit Sangha (DOCTOR OF NURSE PRACTICE) |
| Authorized Official Contact | 7035826433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Integrative Care Po Box 2688 Glen Allen VA 23058-2688 Ph: () - | Bright Integrative Care 11551 Nuckols Rd Ste P Glen Allen VA 23059-5565 Ph: (703) 582-6433 |
| NPI Number | 1871373530 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 1759730583 |
|---|---|
| Medicare Enrollment ID | O20231205003501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871373530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hailegiorgis T Bizuneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417528225 PECOS PAC ID: 9436555968 Enrollment ID: I20210909000989 |
| Provider Name | Manjit Sangha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447661871 PECOS PAC ID: 7214304500 Enrollment ID: I20221028001825 |
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