Provider Demographics
NPI:1568021160
Name:BRIGHTER PATHWAY TO HEALTHCARE
Entity Type:Organization
Organization Name:BRIGHTER PATHWAY TO HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:252-289-6865
Mailing Address - Street 1:2641 CAMERON WOODS LN APT SUITE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7700
Mailing Address - Country:US
Mailing Address - Phone:252-289-6865
Mailing Address - Fax:
Practice Address - Street 1:2641 CAMERON WOODS LN APT SUITE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-7700
Practice Address - Country:US
Practice Address - Phone:252-289-6865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care