Healthcare Provider Details

I. General information

NPI: 1548894611
Provider Name (Legal Business Name): LISA ANN GALESKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S. MILL STREET
ELDON MO
65026
US

IV. Provider business mailing address

206 S. MILL STREET
ELDON MO
65026
US

V. Phone/Fax

Practice location:
  • Phone: 844-853-8937
  • Fax: 417-350-1935
Mailing address:
  • Phone: 844-853-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2008003473
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2020007030
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: