LISA LYNN MAHER ARNP NPI 1003054305

NPI Information

NPI: 1003054305
Provider Name: LISA LYNN MAHER, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
419 EAST DONALD STREET
WATERLOO, IA
ZIP 50703
Phone: (319) 236-1911
Get Directions

Lisa Lynn Maher, ARNP is a family nurse practitioner in Waterloo, IA with 13 years of experience. Lisa Lynn Maher, ARNP NPI is 1003054305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

419 EAST DONALD STREET
WATERLOO, IA
ZIP 50703-223
Phone: (319) 236-1911
Fax: (319) 287-5832

The NPI 1003054305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 3/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A114046	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003054305	OTHER	IOWA	WELLMARK BCBS
2	421417307-UZ	OTHER	IOWA	UHC/RIVER VALLEY/JD
3	P00704358 (PTAN)	OTHER	IOWA	RR MEDICARE
4	1003054305	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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