Individual
KRISTIN KAYELYNN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3833
(715) 735-5225
Mailing address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3833
(715) 735-5225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15618-33
WI
363L00000X
Nurse Practitioner
4704349153
MI
363LF0000X
Family Nurse Practitioner
15618-33
WI
363LF0000X
Family Nurse Practitioner
4704349153
MI
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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