Search › Missouri › 363LF0000X
Wanita Lister, FNP-C
NPI 1467893172 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1317 W Broadway St
Bolivar, MO 65613 - Phone
- (417) 326-7250
- Organisation at this address
- Polk County Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 3315 S Campbell Ave, Springfield, MO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri