Individual provider · Type 1 NPI
Lisa Joan Beaver, RN
Ambulatory Care Registered Nurse · Leavenworth, KS
NPI number
1104693480
Active
Practice location
Leavenworth Vamc, 4101 South Trafficway
Leavenworth, KS 66048
Fax (913) 758-4119
Mailing address
4408 Lakeview Dr
Leavenworth, KS 66048-4934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 13-87161 (KS) |
Ambulatory Care Registered Nurse: Definition to come...
Other ambulatory care registered nurse providers in Leavenworth
About NPI 1104693480
Lisa Joan Beaver, RN's National Provider Identifier is 1104693480, issued on Dec 7, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Leavenworth, KS. The record was last updated on Dec 7, 2023.