Provider Demographics
NPI:1649527045
Name:MAIERS, EMILY CATHRYN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CATHRYN
Last Name:MAIERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1801 E 54TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-7209
Mailing Address - Country:US
Mailing Address - Phone:563-323-1229
Mailing Address - Fax:563-323-8240
Practice Address - Street 1:1801 E 54TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-7209
Practice Address - Country:US
Practice Address - Phone:563-323-1229
Practice Address - Fax:563-323-8240
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAL120731363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care