Organization
BRIGHTSTAR HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA EAGLETAIL-DAVIS (BILLIING MANAGER)
(313) 401-5828
Entity
Organization
Contact information
Practice address
1208 E BROADWAY RD STE 215, TEMPE, AZ 85282-1512
(313) 401-5828
Mailing address
1208 E BROADWAY RD STE 215, TEMPE, AZ 85282-1512
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
07/12/2023
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