Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH PEMBERTON, AGNP
Active Sole ProprietorELIZABETH PEMBERTON, AGNP is a Gerontological Nurse Practitioner healthcare provider located in GROVER, Missouri. NPI 1295281236 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · GROVER, MO
Registration Details
- NPI Number
- 1295281236
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2016 (9.9720987545407 yrs)
- Last Updated
- Aug 30, 2016
- Licenses
-
2016012215 (MO)2016012215 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
306 HARBOUR POINTE DRGROVER, MO, 630401937Browse MO providers · Browse ZIP 63040
- Phone
- 3143085424
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
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.