Individual provider · Type 1 NPI

Keatredge Re'tonda Lightfoot, ARNP

Adult Health Nurse Practitioner · Tampa, FL

NPI number 1255598058 Active

Practice location

8002 Gunn Hwy
Tampa, FL 33626-1603

Fax (813) 792-7895

Mailing address

151 Sharonwood Dr
Crawfordville, FL 32327-0342

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XARNP9181344 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255598058

Keatredge Re'tonda Lightfoot, ARNP's National Provider Identifier is 1255598058, issued on May 20, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tampa, FL. The record was last updated on May 20, 2008.