Individual provider · Type 1 NPI
Lisa Marie Terhaar, CNP
Gerontology Nurse Practitioner · Circle Pines, MN
NPI number
1750684049
Active
Practice location
550 62nd St
Circle Pines, MN 55014-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R124303 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | R 124303-1 (MN) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1750684049
Lisa Marie Terhaar, CNP's National Provider Identifier is 1750684049, issued on Dec 8, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Circle Pines, MN. The record was last updated on May 24, 2021.