| A Brighter Future Medical | |
|
1521 Owen Park Ln Fayetteville NC 28304-3454 | |
| (910) 321-6006 | |
| (877) 795-6252 |
| Full Name | A Brighter Future Medical |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1521 Owen Park Ln, Fayetteville, North Carolina |
| Authorized Official Name and Position | April J Gant (DIRECTOR) |
| Authorized Official Contact | 9103216006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Brighter Future Medical 1521 Owen Park Ln Fayetteville NC 28304-3454 Ph: (910) 321-6006 | A Brighter Future Medical 1521 Owen Park Ln Fayetteville NC 28304-3454 Ph: (910) 321-6006 |
| NPI Number | 1538491642 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 1456486695 |
|---|---|
| Medicare Enrollment ID | O20100312000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538491642 | NPI | - | NPPES |
| 7000834 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 150892 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 150892 (North Carolina) | Primary |
| Provider Name | April Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376771501 PECOS PAC ID: 6800921040 Enrollment ID: I20100312001012 |
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