Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA G EVERETT, RPH
ActiveLISA G EVERETT, RPH is a Nutrition Support Pharmacist healthcare provider located in MISSION, Kansas. NPI 1205182375 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · MISSION, KS
Registration Details
- NPI Number
- 1205182375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2012 (14.046137149344 yrs)
- Last Updated
- Jul 26, 2012
- Licenses
-
015851 (KY)029533 (MO)1-14133 (KS)
Practice Information
- Address
-
5453 W 61ST PLMISSION, KS, 662053002Browse KS providers · Browse ZIP 66205
- Phone
- 9133220001
- Fax
- 9133220001
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
- Additional Specialty
- Nutrition Support Pharmacist
- Additional Specialty
- Nutrition Support Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.