Provider Demographics
NPI:1265029052
Name:DARINGER, LISA JEAN (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:JEAN
Last Name:DARINGER
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:JEAN
Other - Last Name:MACOMBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:411 EVERETTE ST
Mailing Address - Street 2:
Mailing Address - City:ELK RUN HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50707-1409
Mailing Address - Country:US
Mailing Address - Phone:319-240-9961
Mailing Address - Fax:
Practice Address - Street 1:1655 E SAN MARNAN DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-4378
Practice Address - Country:US
Practice Address - Phone:319-232-2281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA161501363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care