Lisa Joan Beaver, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Leavenworth, KS
NPI 1104693480 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1104693480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 13-87161 (KS)
- Practice address
- Leavenworth Vamc
4101 South Trafficway
Leavenworth, KS 66048 - Phone
- (913) 682-2000
- Fax
- (913) 758-4119
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-87161 | KS | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 13-87161 | KS | Yes |
Addresses
Primary practice location
Leavenworth Vamc
4101 South Trafficway
Leavenworth, KS 66048
Mailing address
4408 Lakeview Dr
Leavenworth, KS 66048-4934
Phone (913) 682-2000
Other providers in Leavenworth, KS
- Hanna May Bates-Crosby
- Richard Bates
- Sheryl Lynn Bayes-Weiner
- Saig Beasley
- Sara Beaudry
- Christina M Becerra
- Kyle Robert Bechtold
- Judith A Beck
- Alicen Grace Beckley
- Gerald Keith Beier
All providers in Leavenworth, KS · Ambulatory Care Registered Nurse in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.