| Brightside Wellness Llc | |
|
7100 W Grandview Rd #1126 Peoria AZ 85382-4911 | |
| (602) 708-9253 | |
| Not Available |
| Full Name | Brightside Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7100 W Grandview Rd, Peoria, Arizona |
| Authorized Official Name and Position | Cindy Jeptoo Bett (OWNER) |
| Authorized Official Contact | 6027089253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Wellness Llc 7100 W Grandview Rd Apt 1126 Peoria AZ 85382-4911 Ph: (602) 708-9253 | Brightside Wellness Llc 7100 W Grandview Rd #1126 Peoria AZ 85382-4911 Ph: (602) 708-9253 |
| NPI Number | 1922718196 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 9830554559 |
|---|---|
| Medicare Enrollment ID | O20230503000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922718196 | NPI | - | NPPES |
| Provider Name | Cindy Jeptoo Bett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346979473 PECOS PAC ID: 7810366523 Enrollment ID: I20221219001855 |
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