MARIKO ELIZABETH LIGHTNER FNP NPI 1750820965

NPI Information

NPI: 1750820965
Provider Name: MARIKO ELIZABETH LIGHTNER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC

PECOS Registration: Yes

Address:
4626 WILLOW RD
PLEASANTON, CA
ZIP 94588
Phone: (866) 623-7600
Get Directions

Mariko Elizabeth Lightner, FNP is a family nurse practitioner in Pleasanton, CA with 8 years of experience. Mariko Elizabeth Lightner, FNP NPI is 1750820965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4626 WILLOW RD
PLEASANTON, CA
ZIP 94588-517
Phone: (866) 623-7600

The NPI 1750820965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95053145	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95006095	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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