Individual provider · Type 1 NPI
Wanita Lister, FNP-C
Family Nurse Practitioner · Bolivar, MO
NPI number
1467893172
Active
Practice location
1317 W Broadway St
Bolivar, MO 65613-1814
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Other practice locations
- 3315 S Campbell Ave, Springfield, MO 65807-4914 · (417) 886-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2006021735 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 2013029766 (MO) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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- Kelly M. Watson, FNPFamily Nurse Practitioner Bolivar, MO NPI 1154711265
- Courtney Marie Brummel, MSN, FNP-CFamily Nurse Practitioner Bolivar, MO NPI 1164074175
- Olivia Jenae Cumley, FNPFamily Nurse Practitioner Bolivar, MO NPI 1194211664
- Chengjie Zhao Rude, APRN, FNP-BCFamily Nurse Practitioner Bolivar, MO NPI 1194659920
- Gina Nicole Viser, FNP-CFamily Nurse Practitioner Bolivar, MO NPI 1316495492
About NPI 1467893172
Wanita Lister, FNP-C's National Provider Identifier is 1467893172, issued on Jul 10, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bolivar, MO. The record was last updated on Sep 12, 2019.