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Organization
LIGHT2MYPATHS PLLC
Active
Organization
LIGHT2MYPATHS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANU JOHN (NURSE PRACTITIONER)
(803) 886-9308
Entity
Organization
Contact information
Practice address
4833 BEREWICK TOWN CENTER DR STE 108, CHARLOTTE, NC 28278-6721
(803) 886-9308
Mailing address
4833 BEREWICK TOWN CENTER DR STE 108, CHARLOTTE, NC 28278-6721
(803) 886-9308
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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