Zick-Mariteragi, Lisa Lyn

Zick-Mariteragi, Lisa Lyn is an individual health care provider with primary practice located at 86-260 Farrington Hwy , Waianae HI 96792-3128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Zick-Mariteragi, Lisa Lyn can be contacted via phone (808) 697-3490.

Contact Information

Primary practice address
86-260 Farrington Hwy Waianae HI 96792-3128
Phone: (808) 697-3490
Fax: (808) 696-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN:31132/APRN:224/RX Hawaii

Profile Details

NPI number 1346339462
LBN Legal business name Zick-Mariteragi, Lisa Lyn
Credentials APRN-RX, MSN, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346339462 NPPES
Hawaii MEDICAID 52631101

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