Individual
LISA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2013007655
MO
363LF0000X
Family Nurse Practitioner
Primary
2013007655
MO
Other
Enumeration date
03/28/2013
Last updated
01/15/2019
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