Provider Demographics
NPI:1265180327
Name:BRIGHT, CHARLETTE ANN (LM, CPM)
Entity type:Individual
Prefix:
First Name:CHARLETTE
Middle Name:ANN
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17140 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-6507
Mailing Address - Country:US
Mailing Address - Phone:209-495-7799
Mailing Address - Fax:
Practice Address - Street 1:17140 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-6507
Practice Address - Country:US
Practice Address - Phone:209-495-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA668176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty