Individual
MICHELE D. LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 920-6242
Mailing address
3904 ORLANDO SPRINGS DR, FORT WORTH, TX 76123-1484
(817) 294-4568
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
614599
TX
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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