Provider Demographics
NPI:1255850681
Name:BRIGHTER FUTURES PEDIATRICS & LACTATION SERVICES, LLC
Entity Type:Organization
Organization Name:BRIGHTER FUTURES PEDIATRICS & LACTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ZELLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-304-9390
Mailing Address - Street 1:172 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-304-9390
Mailing Address - Fax:240-367-9600
Practice Address - Street 1:172 THOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-304-9390
Practice Address - Fax:240-367-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR108292261Q00000X
363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center