Ida Madoka Lightfoot, RN, PMHNP Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Plano, TX

NPI

1851397046

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

593409 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2005-06-22

Last updated

2021-07-19