IndividualActive
Lisa Beaver, RN
NPI 1104693480 · Ambulatory Care Registered Nurse · Leavenworth, KS
Provider details
- NPI number
- 1104693480
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 13-87161 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
Leavenworth Vamc
4101 South Trafficway
Leavenworth, KS 66048
Phone: (913) 682-2000
Fax: (913) 758-4119
Approximate (ZIP-level) locationGet directions
Mailing address
4408 Lakeview Dr
Leavenworth, KS 66048-4934
Registry dates
- Enumerated
- 2023-12-07
- Last updated
- 2023-12-07
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.