Individual
MARY CATHLEEN LIGHTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-PMHNP
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-4000
Mailing address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012027798
MO
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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