Organization
BRIGHTWAY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANISE BASTIEN DNP (APRN)
(321) 368-4868
Entity
Organization
Contact information
Practice address
9870 WATERMILL CIR APT E, BOYNTON BEACH, FL 33437-2815
(561) 608-0088
Mailing address
9870 WATERMILL CIR APT E, BOYNTON BEACH, FL 33437-2815
(321) 368-4868
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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