Healthcare Provider Details

I. General information

NPI: 1235861386
Provider Name (Legal Business Name): KARISSA JOAN MISHLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 RESEARCH PARK DR
MANHATTAN KS
66502-5000
US

IV. Provider business mailing address

1325 RESEARCH PARK DR
MANHATTAN KS
66502-5000
US

V. Phone/Fax

Practice location:
  • Phone: 785-270-4630
  • Fax:
Mailing address:
  • Phone: 785-270-4630
  • Fax: 785-270-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81311
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-81311
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number935586
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1075983
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: