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Individual

GENEVIEVE LIGHTFOOT-TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., F.N.P.

Contact information

Practice address
445 DEFENSE HWY, ANNAPOLIS, MD 21401-8955
(410) 987-2003
(410) 837-1525
Mailing address
445 DEFENSE HWY, ANNAPOLIS, MD 21401-8955
(410) 987-2003
(410) 837-1525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R118703
MD
363LF0000X
Family Nurse Practitioner
Primary
R118703
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
259796
JHHC PRODUCTS
MD
05
442307100
MD
01
8442123
AETNA HMO
MD
01
9144622
AETNA PPO
MD
01
X697 AND CB6XPA
CAREFIRST
MD
Enumeration date
09/27/2010
Last updated
08/08/2012
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