Healthcare Provider Details

I. General information

NPI: 1235694183
Provider Name (Legal Business Name): CATHERINE M LIGHTFOOT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE M FAUST

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 COUNTRY DAY RD
GOLDSBORO NC
27530-8888
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 919-736-0767
  • Fax: 919-580-0148
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001176
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235319
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: