Lisa Marie Anderson, FNP
Nurse Practitioner, Family in Springfield, MO. Individual provider (NPI-1).
NPI number1326381237
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1326381237
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Anderson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2013
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2013007655 | MO | Yes |
| 363L00000X | Nurse Practitioner | 2013007655 | MO |
Practice location
1540 E Evergreen StSpringfield, MO 65803-4300
Phone 417-823-2900 · Fax 417-886-2774
Mailing address
1540 E Evergreen StSpringfield, MO 65803-4300
Phone 417-823-2900 · Fax 417-886-2774
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