Individual provider · Type 1 NPI

Elizabeth Pemberton, AGNP

Gerontology Nurse Practitioner · Grover, MO

NPI number 1295281236 Active

Practice location

306 Harbour Pointe Dr
Grover, MO 63040-1937

Call (314) 308-5424 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X2016012215 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X2016012215 (MO)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1295281236

Elizabeth Pemberton, AGNP's National Provider Identifier is 1295281236, issued on Aug 30, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grover, MO. The record was last updated on Aug 30, 2016.