Individual
LISA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
1173 S GREENWOOD PARK, TONGANOXIE, KS 66086-5502
(913) 603-5985
Mailing address
1173 S GREENWOOD PARK, TONGANOXIE, KS 66086-5502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-84817-041
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Enumeration date
09/12/2025
Last updated
12/04/2025
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