Provider Demographics
NPI:1235694183
Name:LIGHTFOOT, CATHERINE M (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:M
Last Name:LIGHTFOOT
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 COUNTRY DAY RD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-8888
Practice Address - Country:US
Practice Address - Phone:919-736-0767
Practice Address - Fax:919-580-0148
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001176363LF0000X
AZ235319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily