Provider Demographics
NPI:1205945995
Name:MAHER, AMY LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:LOUISE
Last Name:MAHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 POINT FOSDICK DR STE 92
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1711
Mailing Address - Country:US
Mailing Address - Phone:253-356-7477
Mailing Address - Fax:888-782-0163
Practice Address - Street 1:4810 POINT FOSDICK DR
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1711
Practice Address - Country:US
Practice Address - Phone:541-816-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61303508207LA0401X
MI4301507227207LA0401X
FL4393207LA0401X
CAA86866207LA0401X, 208VP0014X
TN67051207LA0401X
CO0071050207LA0401X
IDMC2148207LA0401X
ORMD166757207LA0401X, 207LP2900X, 208VP0014X
CA86866207LP2900X
WAMD61309508207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine