NPI 1508347162 · live from the CMS NPI Registry
Bright Futures Wellness Center, LLC
Pediatrics, Developmental - Behavioral Pediatrics in Cheshire, CT. National Provider Identifier 1508347162, active.
NPI record
| NPI | 1508347162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 422-426 Highland Avenue, Cheshire, CT 06410 |
| Practice phone | 203-304-4961 |
| Mailing address | Po Box 104, Cheshire, CT 06410 |
| Enumerated | August 22, 2018 |
| Last updated | October 29, 2021 |
| Authorized official | Heidi Wildstein, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 2442 (CT) |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.