Bright Path Behavioral Health
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Rhinelander, WI
NPI 1497565824 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1497565824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BRIGHT PATH BEHAVIORAL HEALTH
- Practice address
- 903 Boyce Dr
Rhinelander, WI 54501-3836 - Phone
- (715) 493-0939
- NPI assigned
- Jan 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Marleen A Bryan, NURSE PRACTITIONER
- Title
- Psychiatric NP
- Phone
- (715) 550-0546
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207001937 | WI | Part B Supplier - Clinic/Group Practice | 1951831809 |
Receives reassigned benefits from 1 practitioner Practice locations: Rhinelander, WI |
National Provider Directory
Locations
903 Boyce Dr
Rhinelander, WI 54501
Phone (715) 365-6816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
903 Boyce Dr
Rhinelander, WI 54501-3836
Mailing address
7280 Oak Dr
Rhinelander, WI 54501-9120
Phone (715) 550-0546
Other providers in Rhinelander, WI
- Coralie J Bourcier
- David T. Boustead
- Bradley Chiropractic Office, S.C.
- Joseph Bradley
- Steven Michael Breneman
- Stacey Lee Brooks
- Steven Brooks
- Victoria C Brooks
- Bonnie J Brost I
- Daniel T Brown
All providers in Rhinelander, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.