Individual
MS. LISA LYN ZICK-MARITERAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RX, MSN, MPH
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3490
(808) 696-6604
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3490
(808) 696-6604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN:31132/APRN:224/RX
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52631101
—
HI
Enumeration date
10/12/2006
Last updated
11/27/2013
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